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Department of Health and Social Development and Ministry of Corrective and Rehabilitative Services ' i!ANNUAL REPORT 1977
MINISTER THE HON. L.R.SHERMAN MANIT~BA 6
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AUG 30 1978 (/DEPARTMEN;.e5~~i§ilttTH & SOCIAL DEVELOPMENT ~"1977 ANNUAL REPORT
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1 THE DEPUTY MINISTER THE DEPUTY MINISTER OF HEALTH AND OF CORRECTIVE AND SOCIAL DEVELOPMENT REHABILITATIVE SERVICES
Honourable LOL!cS R. Sherman, Minister of Health and Social Development, Minister Responsible for Corrective and Rehabilitative Services
Sir:
We have the honour of presenting herewith the Annual Report of the Department of Health and Social Development of the Province of Manitoba for the Calendar Year 1977.
Your obedient servants,
R. D .•Iohnstone, J. Banmen, Ph.D. Deputy Minister of Deputy Minister of Health and Social Corrective and Development Rehabilitative Services
2 MINISTER MINISTER OF HEALTH AND OF CORRECTIVE AND SOCIAL DEVELOPMENT REHABILITATIVE SERVICES
His Honour, F. L. Jobin, LieutenantmGovernor of the Province of Manitoba.
May It Please Your Honour:
I have the honour to submit herewith the Annual Report of the Department of Health and Social Development of the Province of Manitoba for the Calendar Year 1977.
Respectfully submitted,
Louis R. Sherman, Minister of Health and Social Development. Minister Responsible for Corrective and Rehabilitative Services.
3 Table of Contents Resources Division ...... 7 Personnel Management Services ...... , ...... 8 Special Studies Group ...... 9 Agency Relations ...... •...... 9 Program Analysis and Review Branch ...... 10 Financial Services ...... •...... 10 Medical Supplies and Home Care Equipment ...... 11 Statistics ...... 12 Data Processing ...... •...•...... 13 Vital Statistics ...... 13 Fitness and Amateur Sport ...... 14 Office of Residential Care .•...... 16
Social Security Division...... 17 Income Security ...... 18 Employment Services ...... 18 Work Activity Projects ...... 19 Child Day Care...... , ...... 20
Community Services Division ...... 23 Medical Public Health ...... 24 Venereal Disease Coptrol ...... •...•...... •...... 25 Preventive Medical Services ...... 27 Dental Services .....•...... 30 Public Health Nursing Services ...•...... •...... 32 Home Economics •...... 35 Education and Library Services ...... 36 Child and Family Services .....•.•...... 37 Office of Continuing Care ...... \ ...... 38
Mental Health and Rehabilitation ...... " ...... 41 Chief Medical Consultant •...... 42 Office of Mental Health and RehabilitativE' Services ..•...... 42 Mental Health Centres ..•...... •...... 42 Brandon ...... •...... •...... 43 Selkirk ....•...... 43 Eden ...... •...... 45 Community Mental Health Services ...... 45 Community Mental Health Services for Children ..•...... 47 Mental Retardation Programs ...... •...... 47 R1ahabilitation Services for the Disabled ..... " ...... 49
4 Ministry of Corrective and Rehabilitative Services ...... 51 The Ministry ...... •...... •...... •. 52 Direct Services...... • ...... • ...... •...•...... ••...•...... •. 52 Adult Corrections Directorate ...... •... , ...... •.• 53 Headingley Correctional Institution ...... , .....•...... •...• 54 Brandon Correctional Institution •...... •..• 55 Portage, Correctional Centre for Women •...... •....•...... • , 55 Dauphin Correctional Institution •....•...... , . , , , , , , ... , , , . , .... , 56 The Pas Correctional Institution "."',.,', .. , ...... , .... 56 Rehabilitation Camps ,." .. " ... " .. " ...... ,.,.", .. " .... ,.,'" 56 Juvenile Corrections Directorate ... ,.,."., •.. , .. , .• , ...... •...... 57 Role ..•.••...... •.....•..•.•..•.•..•••.•...•••...... ••..... 57 Manitoba Youth Centre ••••...•.••.•••••••.•..•••.•.••.• :. • ....•. 58 Longer Term Institutional Care ...... 59 Agassiz Centre for Youth ...... •... , •.•• ', ....•••.•••...•••••••• " 59 Seven Oaks Centre for Youth ... , , . , .... , .... , ..••...•.•.•..•••.•. 60 Probation Services Directorate. . . • ...... • ...... , ..•...... •....• 61 Adult Probation...... • ...... , ...... •...... •..... 62 Juvenile Probation ...... •..•...... 62
Marriage Conciliation Service •... 0 _ ••••••••••••••••••••••••••••••••• 63 Support Services ...... •...... •..... 63 Inspector General ...... •..•...... • '" ...... • ,. 63 Staff Training and Development...... •...... • 64 Community Agencies •...... •...... •..•....•..... 64 Residential Care ..•.•...... •.•...... •...... ••....•...... 64 Halfway Homes ...••...... •....•••.••...... •...... 64 Counselling, Support ar,d Liaison ...... •....•....•.....•.....•.. " 65 Court~Related Services ...... •...... " ...•...•..•..... '" .. 65 Alcoholism Foundation of Manitoba ....•...... •.•..•..•...... •...•... 65
Statistical Appendix Detailed Table of Contents ...... •...•.....•..•.•...... •••...•.. 68 Section 1 Population of Manitoba ...... •...... •...... ••.... 72 Map .•....•...... •...... •....•...... •.•...•••.. 73 Section 2 Vital Statistics .•....•...... •.....•...... 74 Section 3 Social Security .....•...... •...... •...•.•.• " 81 Section 4 Community Services •..... , ...... •...... •...... •...... 96 Section 5 Public Health .. , •.... , .••...... •...... •.....•..... 107 Section 6 Mental Health ...... •••.••...•...... •..•...... 112 Section 7 External Agencies ...•.•...... •.•..•....••..•.•.•..•..••.•• 117 Section 8 Fitness and Amateur Sport •...•...... •....•....•.....•• 1'19 Section 9 Correctional and Rehabilitative Programs ...... •...... ••. 120
5 ------~----- RESOURCES DIVISION -
7 Resources Division -.
The Resources Division has the responsibility for ~msuring that the manpower, money, and material required by the Department of Health and Social Development in meeting its mandate are used efficiently, effectively. and in accordance with policy guidelines established by goiternment. In addition, the Division provides other parts of the Department with in'iormation necessary for planning their programs. Personnel Management Services The Personnel Management Services Branch provides management services to the Department in tile following areas:
1. Employee Relations - handling of employee greivances and appeals and education in labour-management relations. Assisting management in resolving problems related to interpretation of Agreements and the Civil Service Act.
2. Position Evaluation and Classification - ensuring that jobs are classified consistently from one region to another. Gathering pertinent data about positions to be reclassified and making appropriate recommendations. Con ducting organization and staffing reviews and making necessary recom mendations. 3. Perfmmance Evaluation - ensuring that job standards are established so that employees and management can determine the effectiveness of the employee on the job. This provides a way for the employee to understand his or her potential on the job and ~or the supervisor to identify areas of weakness where the employee may need development and assistance.
4. Supervisory and Management Skill Development - providing assistance and training to supervisors and managers in effectively carrying out their responsi bilities as managers.
5. Staff Recruitment dnd Selection -coordinating and scheduling selection boards, developing criteria for selection and carrying out administrative tasks relative to the selection process. Implementing Civil Service Commission policies, practices and procedures.
6. Equal Employment Opportunity - developing ways and means of assisting employees traditionally confined to the lowest level positions to develop their potential and improve their chances for advancement.
Efforts were made during the year to emphasize improvement in the Employee Relations functions. Many employee grievances and appeals were anticipated and dealt with before complaints were made formally. In this way, supervisors and managers were saved time spent in the process of resolving formalized problems. A number of seminars held with supervisors and managers concerning the application and interpretation of the Government Employees' Master Agreement and Sub-Agreements. In addition, seminars on effective labour-management relations were conducted throughout all areas of the Department. In the area of supervision and management skills development, the emfJhasis has been on developing programs to meet the specific needs, including: 1. day-to-day problem solving 2. paper work simplification 3. work simplification programs 4. effective written and oral communication 5. motivating staff Through involvemen' in the Interdepartmental Development and Training Organization initiated by Management Committee, it is anticipated that training needs will be met in an increasingly coordinated way. At Oecember 3, 1977 there were approximately 3,694 employees on the Department's payroll as compared to 4,500 on the same date in 1976.
8
.•.... ~ Special Studies Group The two primary functions of this Group are to supply departmental management with administrative support systems and to provide a liaison service between the divisions of the Department, the Central Purchasing authorities and external departmental suppliers on matters relating to the purchase and supply of operational goods, services, supplies and equipment. The former is accomplished by conducting studies of problem areas within the Department with a view toward improving organizational structures, staffing patterns, systems and procedures, forms layout, office layouts, and office equipment evaluations. The latter is accomplished with the establishment of a. centralized purchasing agent who coordinates and reviews all purchases made by the Department and directs them to the appropriate area. The Special Studies Group has astaff of 12, consisting of a branch Co-ordinator, Administrative Analysts, Systems Analysts, Equipment and Supplies Officer, and support personnel. Its services are available to all divisions, branches, or sections oHhe Department or its funded agencies on a request basis. This past year the Group also has responded to requests from othel departments of the government.
Projects consist primarily of informational or operational studies. The infor~ mational studies serve as a tool for senior management 1n trle development and formulation of policy or operational decision making. Operational studies are aimed at promoting departmental efficiency through the development of improved work and paper flow systems, office eqUipment and machine evaluations, and general program support systems developme!lt. The scope of these projects fange from basic form design tf a major large automated support system. Upon completion of a pi'oject, a forma! documented report is presented to the management of the area that has been under review. Upon acceptance of the recommendations of the report, the Special Studies Group is available to assist with the implementation of all or part of its recommendations.
Agency Relations The Agency Relations Branch of the Department, sometimes referred to as External Programs, provides:
1. A Department liaison with and reference point for health and social service organizations receiving or requesting grants, or from which the Departmflnt of Health and Social Development directly or indirectly purchases services. 2. Fact finding, analysis and coordination of matters of policy, program operational relationships of an organizational or fiscal nature, with reports and recom" mendations to government on appropriate financial support policies and practices, program support levels, and service purchase prices. 3. Interpretation and application of government policy and fiscal requirements in relation to agencies and organizations and the use of public funds. 4. Monitoring, auditing and accounting for use of PUbiic funds in agencies in accordance with approved programs and conditions of authorizations and payments. During the year the Branch, with the assistance of financial services analysts, reviewed policies, programs, operations, financial statements and budgets for 59 grants and 147 rates for continuing programs and services, and in each case implemented tM government's decision on funding; monitcred payments; audited and accounted for funds paid the previous year to 206 different programs.
In addition the Branch reviewed, ~eported and recommended on 49 new requests or proposals. Approximately 96 other inqUiries about potential funding were handled by the Branch. .
9 Staff of the Branch also ~'!ere involved in, or carried out directly; about 29 special assignments involving operations and coordination of administrative practices and systems, policy review and development, and information analysis and reports. Improvements were made in reducingl the time for completing reviews and reports. Progress also was made toward achieving the objective of finalizing payment and support levels to agencies prior to the agency's fiscal period. Close teamwork between Branch staff and financial analysts made these improvements possible. This progress was further enhanced by the improvement in coordination of functions with, and assistance from, pr0gram directorates through the provision of policy intdrpretations, definitions of standards, and priorization of program activity.
Financial Services
Tne Financial Services Branch provides financi:~I, analytical and budgetary information to all the divisions of the Department. Ti1is information is constantly updated and revised to meet the changing conditions and needs of the Department.
Financial Services F~ anch is divided into ·several sections, each under the supervision of a co-ordinator. 1 Accounting Services All departmental expenditures such as administrative, operating and social allowances accounts are processed, vouchered and submitted for payment. This includes the processing of the automated social allowances payments and the related statistical information submitted by field offices. Other activities include issuing and maintaining records of accountable advances and maintaining and reconciling the 1 output data from the computerized voucher accounting records and special chequing accounts.
Program Analy~is and Review Branch This group was established in December 1975 within the Resources Division to undertake the centra, analysis, research and eval uative functions of the Department. It carries out these rS'3ponsibilities through the preparation of routine and special reports and through participation in the preparation of program information for policy review, estimates presentation, and the evaluation of program performance. In addition, the Bfanch provides technical support in the design and review of evaluation methods, standards and the development of management information systems f!:>r program monitoring. Specific duties and functions include the following:
Program Review-the de~/"llopment and maintenance of a continuous cycle of Program monitoring. Regional Analysis -establishing and maintaining an up-to-date profile of Health and Social Development regional operations inclUding organization, staffing and patterns of service delivery. Program Information Invs(ltory-the preparation of comprehensive program data for policy reviews, program ratings and estimates presentation.
Special Projects -the provision of analysis and consultive services in response to special needs or problems.
Evaluation-the provision of technical support in the developr,lent of analytical systems and procedures required for the proper management of departmental programs and activities. ' Program Development-provision of analysis on program design and development activities related to various dCllivery systems for new and on-going programs.
10 j ------
Workload Control-the preparation and maintenance of Workload schedules for field operations and programs compatible with departmental and government priorities and allocated resources. Moreover, this group provides the Department with a central support to assist in the implementation and evaluation of new programs or substantial changes in existing programs. In the formative stages of new program implementation, the major concerns include the examination of structure, staffing, procedures, and communica tion patterns for the purpose of determining the most suitable arrangements for program and service integration in the ongoing Health and Social Services delivery systems. This section administers the Social Allowances Health Services program on behalf of the Department. This requires the processing of all related accounts, dealing with correspondence, authorizations and issuing of Health Services certifi cates enabling recipients to obtain drug, dental and optical supplies and services. Financial Services also provides statistical and financial data to enable the Department to negotiate with the various professional organizations participating in the plan.
Payroll and Personnel Services This section is responsible for the personnel documentation and the depart mental employee payroll function.
This ye:ar all personnel records were placed on the Manitoba Employee Information System (M.E.l.S.). Budget and Revenue Services The principal function of this section is to provide a comprehensive fiscal budget service to all divisions in the Department. This includes budget preparation, control and analysis, support information and reports to departmental management. Other functions include the receipting and accounting for all departmental revenues and accounts receivables and the administration of the mental patients accounts receivables through the Public Trustee and/or the Federal Government and the control and recovery of such funds. This section is also responsible for the preparation of claims under the various cost sharing agreements with the Federal Government and ensures that maximum revenues are obtained through existing agreements with the Federal authorities.
Pharmaceutical Liaison Sen'ices Provides an audit and review function with all retail drug outlets plus liaison with the Manitoba Pharmaceutical Association and its members concerning Social Allowances Health Services, Pharmacare, Personal Care Home and drug substitution programs. Medical Supplies and Home Care Equipment The Program provides Medical Supplies and Home Care Equipnent directly to patients, departmental offices, and doctors. Each ar9a of s'Jpply is funded through a different appropriation. The Program in most cases initiates and pays for purchases and as supplies are used, appropriation transfers are made and the value of the goods returned. This method of bulk purchase, in some cases on a yl~arly basis, allows substantial savings. The Manitoba Wheelchair Program continues to demand periodic adjustment to assure fair and proper usage. It now has over 3,300 standard and 70 motorized wheelchairs in use in the community. The Home Care consumable and re-useable programs have had a successful year. Feedback from some 32,000 patient and other calls in the Provincial Equipment Program has been generally positive. A new inventory and control system established this year ensures that consumable supplies witl be readily available to patients and departmental offices.
11 The Society for Crippled Children and Adults and the Speech Therapy Department of the Winnipeg General Centre have cooperated fully with the Program as a resource and distribution agency during the past year. The Manitoba Ostomy Program provides services on a province-wide basis. Educational information is offered about the Program and this has resulted in increased knowledge of the appliances and supplies available. The consultation service provided by the Program's Enterostomal Therapist involves upwards of 1,000 individual contacts annually.
Statistics Section The functions of the Statistics Section are to collect, collate, and distribute statistical information regarding. departmental activities; to develop and improve statistical reporting r-echanisms, and to provide service in the form of statistical analytical activities to the Department. The activities of this section are summarized under four headings.
Collection, Collation and Dis~ribution: Statistical information is provided in the "Statistical Bulletin", "Canada Assistance Plan Report" and the annual statistical report. Senior management receives monthly caseload and trend data in a special Management Report. The second update to the "Maternal and Child Care: Vital Statistics" report was completed. Another topical report on "Suicides and Suicide Attempts" was published during 1977. A third major study on "Accidenls and Accidental Injuries" was begun and nearly completed during 1977. It will present data on accidents in Manitoba based on vital statistics and M.H.S.C. inpatient and outpatient files. National and inter nationai data also will be included.
Information Systems Development: The fUnction of this unit of the Statistics Section is to assist, as a membe r of teams consisting of program managers, co-ordinators, staffs, and other resource specialists in defining program dElta requirements, methods of data collection and processing, distribution of data, and provide technical background in the analysis of special data requests. Activity has been concentrated this year on the Child Welfare statistical system, and the collection of service workers' activities times, refining and implementing the Social Allowances :verpayment report system, the Employment Services statistical system and a S.Y.E.P. project on Corrections data.
Statistical Analysis: The main focus in this function b to provide statistical analytical activities or to make available technical resources to assist program areas. This year an analysis was undertaken to revise Social Allowance rates to reflect increases in the cost of living.
Other Functions: This Section also responds to a variety of daily requests. At year end the Section coordinates data acquisition and format for the statistical appendix of the Department's annual report.
Members of this Section currently act as official provincial delegates to Federal/ Provincial Advisory Committees in areas of statistical, informational and systems implications in the field of Mental Health/Mental Retardation, health and crimin31 justice.
12 Data Processing Unit This group provides computer technical services to the various Divisions within the Department. The main function of the Unit is to reduce manual processing of data.
Because computer technology is constantly changing, this Unit must monitor all systems to maintain the efficiencies of data processing. Maintenance of current systems, therefore, remains a large part of the Unit's efforts.
As in past years, this Unit has continued to support research projects in the areas of Income Security, Community Operations, Sports Branch, Mental Health, Correction and Rehabilitative Services. In 1977, new procedures for recording vital events in the information system were introduced. A statistical analysis system also was developed and installed for the Venereal Disease Unit. The system allows for more comprehensive analysis within reasonable time frames. It was the first on~line system to be installed within the Department. Office of Vital Statistics The main functions of the Office of Vital Statistics are: 1. To administer The Vital Statistics Act, The Marriage Act, The Change of Name Act, and the Regulations thereunder, as well as Section 101 of The Child Welfare Act, and Sections 29-33 of The Public Health Act.
2. To register al1d preserve the records of births, stillbirths, deaths, marriages, adoptions and changes of name which occur [n the Province of Manitoba. 3. To issue certificates of birth, death, marriage, and change of name from these records to authorized persons.
4. To tabulate, maintain and ,~port the vital statistics data of these events provincially and federally. 5,. To register and maintain a listing of al{ registrars located throughout the Province for the purpose of recording vital events. 6. To register and maintain a listing of all clergymen to verify authority to solemnize marriagtls in the Province. 7, To register and maintain a listing of the Marriage Commissioners in the Province. S. To register and maintain a listing of all physicians registered with the College of Physicians and Surgeons of Manitoba. 9. To develop and maintain a good rapport with all the physicians, clergymen, funeral directors, hospital authorities, barristers, Divisional Registrars, and Issuers of Marriage Licences, and Marriage Commissioners in the Province who serve us and Whom we serve.
The Provinc:e of Manitoba has recorded and preserved registrations of births, deaths, and marriages since 1882 under governmental authority, Church records of baptisms. burials, and marriages for the various religious denominations dating back to 1812 are also preserved in our archives. The Office of Vital Statistics receives registrations of birth, stillbirth, death and marriage from 209 registrars located throughout the Province. These registrations are checked for accuracy, queried if necessary, indexed, coded, key punched and microfilmed, thereby ensuring a uniform registration system consistent with Canadian practices. A microfilm image of all original registrations is sent to Statistics Canada in Ottawa a~ a permanent duplicate record and also for its use of statistical data.
13 In the past year there were 110 weekly statistical reports prepared for various Government Departments and Agencies, 32,633 vital events registered, 1236 adoptions registered under The Child Welfare Act (including 154 under Section 101 of The Act which are processed by this office); 756 delayed registrations; 1133 legal changes of name; and 10,000 free verifications of vital events provided to various government departments and agencies. The office handles a daily average of 150 telephone calls, 125~150 persons at the counter, and 400~450 pieces of mail. In order to improve our service to the public the office has appointed Issuers of Marriage Licences in 32 of the Health and Social Development offices throughout the province. The total number of Marriage Commissioners has been increased to eight and, as well, all County Court Clerks located throughout the province are now authorized to perform marriages. A position of Inspector of Vital Statistics has recently been established within the office. The incumbent's main responsibility will be to direct and instruct all Division Registrars, clergy and Marriage Commissioners, Marriage Licence Issuers, physicians, hospital authorities, funeral directors, and cemetary and crematorium operators in their responsibilities in accordance with the Acts and Regulations thereunder.
The implementation of the information retrieval system is progressing. Microfilm retrieval and computer output microfilm indexes will be utilized in April 1978, and computer output statistical data reporting is being developed. Some reports are produced now; the completed program development and output is anticipatE.'d by October 1978.
Fitness and Amateur Sport Branch The overall responsibility of the Fitness and Amateur Sport Branch is to assist Manitobans to utilize their leisure time through fitness and amateur sport activities. The Branch's activities are divided into three main areas:
A. Sport Development Section 1. The Sport Administrative Centre The purpose of the Administrative Centre is to provide back~up administrative support services required by the Provincial Sport Associations, such as typing, telephone, office space, printing, postage, etc.
2. Financial Assistance to Sport The Jranch provides financial assistance to sport in five major areas: a. Administrative Services - administrative credit to be utilized within the Administrative Centre for Sport. b. Salary Grants - assistance provided towards the salaries of 14 full~time Sport Association executive personnel. c. Program Grants - for Sport Association programs of upgrading services and clinics, travel to provincial and national championships, hosting provincial and national championships and specific projects. d. Games Development Grants - to provide assistance to Sport Governing Bodies Involved in the Canada Games in selecting and training their provincial team. e. Athlete Development Assistance Project - Man Plan - to provide financial assistance to Manitoba's best athletes. 3. National Coaching Certification Program The Coaching Certification Program's objectives are: a. to promote and develop excellence in Coaching in Canada b. to provide coaches at all levels with a systematic way to improve their knowledge ar.d skill in the theoretical, technical and practical aspects of coaching.
14 Since the implementation of the program in Manitoba in the Spring of 1976. approximately 800 coaches have been certified in the theory component of the National Coaching Certification Program, and many hundreds more in the technical component.
B. Games Deveiopment Section 1. 1978 Manitoba Winter Games-Provincial Final, Dauphin Activities include: a. implementing the total program throughout the province b. central resource of all information and services c. working with the Manitoba Games Council d. development, control and accountability of financial assistance
2. 1979 Canada Games a. develop a mission staff b. consultative, organizational and liaison assistance to Brandon tor the 1979 program. c. liaison and consultative service to all Provincial Sport Associations d. assist in selection and training of teams e. assist with officials development f. co-ordinate all travel arrangements g. arrange for aI/ uniform requirements h. development, control and accountability of financial assistance i. proper registration of Manitoba contingent
3. Junior Olympics a. provide organizational, liaison and consultative services b. administrative assistance c. arrange for awards
C. Fitness Section 1. Program Objectives a. To develop educational packages and assist in community co-ordination programs that will encourage Manitubans to adopt positive lifestyle habits and participate in regular phYSical activity. b. Recruit and develop proficient and knowledgeable volunteers in urban and rural communities who are competent in providing leadership to the promotion of active lifestyles, fitness and fitness related programs. G. Strengthen the delivery capability of community associations, recreation agencies, business and industry, fitness related professional groups and sport clubs, to encourage the development of physical fitness. d. Develop cooperative efforts between various government departments in planning and implementing fitness programs. e. Plan and develop recommendations for present and future facilities for the specialized tmatment of athletes' injuries.
15 Office of Residential Care The Office of Residential Care was established in April, 1977. By year end the office had not yet reached full staffing. The objective of the office was tc ensure a satisfactory standard of residential care fot" those persons placed by the various department programs in residential care facilities (excluding those licensed by the Manitoba Health Services Commission). This was to be achieved through thrllicensing and regulation of facilities and the inherent monitoring of physical and program standards as well as the assessment of both the level of funding and rates charged, consistent with the level of care provided.
The children's group home program was the first to be examined. By year end a licensing mechanism had been established in cooperation with the City, municipal and provincial departments concerned with building and fire safety and health. They would conduct the required inspections. Group home program standards were drafted by the Child and Family Services in consultation with this Office to be applied in the licensing and monitoring process. A Registry of children's residential facilities throughout the Province was compiied and copies made available to child placing agencies throughout Manitoba to facilitate placement and the appropriate utilization of residential care resources. A rate setting mechanism and scale of rates for children's group homes was devised and subsequently approved by Manage ment Committee, following which, the per diem rates of group homes under went systematic review and, where indicated, rate revision. Bill processing was centralized and linked to an information collection system for the monitoring of group home performance. At year end the Office entered into a process with the Mental HealH1 and Retardation Directorate, and including institutional and field personnel, to examine the residential care program in this program area with the view to developing a licensing, monitoring system similar in many respects to that described in the children's area. Other programs will in due course be reviewed with similar objectives in mind.
16 j SOCIAL SECURITY DIVISION
17 Social Security Division
The Division of Social Security was established in Man~h 1975 to centralize and rationalize all income related programs and to assist large numbers of Manitobans in finding and holding jobs as an alternative to being solElly dependent on social assistance. It was felt that this goal could be achieved by more effective integration of the Income Security, Employment Services and Day Can~ Programs so that each would become more mutually supportive of the program objectives of the other. The office of the Assistant Deputy Minister is responsible for advising the Deputy and the Minister on policy choices in the areas for which the Division is responsible, and in certain federal-provincial matters. This has included such activities as partici pation in the development of the proposed Social Services Act; the evaluation of the subsequent block funding proposal; the. eValuation of proposed amendments to the Canada Pension Plan which required Cabinet consideration; and negotiations con cerning federal cost-sharing of a special training program fOi single parents currently on social assistance.
Income Security The Income Security Branch is responsible for the Social Allowances Program and r.elated income security programs such as The Manitoba Supplement for the Elderly, Blind Persons' Allowance, Disabled Persons' Allowance, and income testing for the Child Day Care Program. Historically, various categories of financially destitut3 persons were recognized as having a right to public support. In 1960, The Social Allowances Act was introduced to combine under one legislative authority financial assistance measures. Provisions were made for the granting of ass:stance to persons in need including the elderly, persons who were unemployable for more than 90 days due to a mental or physical disorder, sole support mothers, persons requiring special care, and persons resident in areas of the province where municipal assistance was not available. Income Security Services are provided through regional operations staffed by Financial Workers, Income Security Counsellors, and District Directors of Income Security. Support, policy direction, and auditing services are provided by the Office of the Executive Director of the Division which has responsibility for the effective and uniform administration of the financial assistance programs. During 1977 the fixed Social Allowance rates were revised in keeping with the cost of living increases since the last rate adjustment. The percentage changes were as follows: food up 12.29 percent; clothing up 6.08 percent; supplies up 5.73 percent; and personal needs up 7.04 percent. In addition the number of age groups for which rates are set was reduced from four to three. Board and room rates were also increased to meet escalating costs. Allowances for minor home repairs were increased from $125 to $200 per family per fiscal year. The allowable cash asset exemption levels for clients was doubled this year. Social Allowances caseload size continued to decrease during 1977 and is at its lowest level since 1971.
Employment Services Program The Employment Services Directorate was transferred from Community Services Division to the Division of Social Security in March 1975 as part of are-organization of the Department placing social security programs within a single division. January 1977 saw the field operations of the program transferred from Community Services to this Division.
The main objective of Employment Services is to assist individuals, who as a result of complex environmental, cultural, personal, or family problems experience continuing difficulty in finding and maintaining employment, with a specific emphasis ~ 18 _____ J on those persons receiving Social Assistance or likely to become dependent on Social Assistance. Past experience has demonstrated that given the opportunity or provided with alternatives, disadvantaged persons will not choose to be dependent on public assistance. The program is, therefore, in this regard, both preventive and remedial. The program has beep designed to help the client make the system work for him. To meet this end, Employment Services looks to other provincial, federal, and municipal departments, and the private sector to provide the multiplicity of resources required: financial, technical, etc.; resources that are available to the general popula tion. Financial resources provided directly through the program are used primarily to bridge gaps in existing services or to provide special innovative services not available through the regular resource system. Employment Services clients must have demonstrated need for special help in finding employment, or in taking advantage of technical vocational courses leading to employment, or in acquiring the social skills necessary to sustain them in training and employment. For those persons who do not possess sufficient knowledge or awareness to make realistic vocational choices or who demonstrate unusual or particularly complex social vocational problems, special work activity projects may be used to provide a combination of controlled work experience and special vocational, academic, and social skill~ training.
Work Activity Projects Work Activity Projects are part of the Employment Services package, and are funded under Part III of the Canada Assistance Plan. Work Activity Projects are designed to assist persons who, because of personal or family reasons, have unusual difficulty in finding and retaining employment or in benefiting from technical or vocational training :Jrograms. Work Activity Projects began in Manitoba as a means of providing an integrated and concerted approach to the problem of welfare dependency. Services are provided to special client groups for whom normal departmental services were inadequate or ineffective. The intent of Work Activity Programs is to provide a combination of train ing and work situations to enhance self development of those persons who are unemployed or likely to become unemployed; and to provide for these people an opportunity to acquire and improve vocational and social skills necessary to find and hold employment. The Work Activity Projects as developed, allow for community participation. To date, five Work Activity Projects have been developed and operating. The date of implementation of these projects are as follows: -Manitoba Associated Northern Work Activity Project (MANWAP) 71 1019 - Amaranth Work Activity Project (AWAP) 72 10 26 -Winnipeg Home Improvement Project (WHIP) 72 10 26 - Westbran Work Activity Project (WESTBRAN) 73 04 24 - Pioneer Services Centre (PIONEER) 7401 08 In 1977 the MANWAP project expanded to include a core project in Dauphin and a program in Barrows, to serve the area of Barrows, Baden, Westgate and Red Deer Lake. The program has assisted the Camperville project to become independent of work activity projects, and helped establish a wood working shop in Camperville, which created 14 jobs within the community. Work Activities, although not primarily intended to create continued employ ment, are in instances motivating communities to improve or extend their economic base. The projects are designed to serve the disadvantaged, and the majority of persons referred to the project remain with the project for periods of eight to twelve months.
19 During the past twelve months, the project has provided service to 873 people, of whom 30,1. still remain on the project. Of the 569 who have left the program, 248 were placed in empfoyment, and/or enrolled in Community Colleges throughout the Province. Others have written the Grade Equivalency Determination which upgrades their educational standard to a maximum of Grade XII which assists them in entering into employment and/or obtaining higher levels of education.
Child Day Care Program The Child Day Care Program was established In 1974 as a federal-provincial program cost-shared under the Canada Assistance Plan. The objective of the program has been to assist the development and maintenance of community initiated day care services for preschool aged children through direct financial aid to centres, subsidies on behalf of parents, and program guidance and support. There are basically two forms of day care being provided in Manitoba: Group day care - where six or more preschool children are cared for in group settings; Family day care -where up to five preschool children are cared for in private homes, generally in the child's own neighbourhood. Within this framework communities throughout tile province have adapted day care services to their particular needs by providing part-time or fUll-time programs, or programs with extended hours to accommodate families requiring care outside of the regular Monday to Friday schedule. The day care program has grown rapidly, as is depicted in the following table.
Group DlilY Care Family Day Care Number of Number of Number of Participating Number of Participating Licensed Family Day Licensed Centres Spaces Care Homes Spaces December 31,1974 11 374 3 14 December 31, 1975 55 2,637 73 136 December 31, 1976 165 4,598 206 594 December 31,1977 172 4,795 152 520 . Start-up grants and annual maintenance grants are available to day care providers to help defray the initial costs of starting a day care facility, as well as to assist with the ongoing operating costs of providing day care services. The grants are based on the number of spaces for which the facility is licensed, the type of care (family or group), and the level of care (full or part time) which is being provided. Financial assistance is also available to the users of day care in the form of a subsidy to the cost of care. An incomes test for families who demonstrate a social need for day care determines the level of subsidy for which a family is eligible. The incomes test takes into consideration the number of preschool children in care and the net annual family income. The net family income below which subsidy is available Is based on the provincial average family income, and has been indexed annually to the cost of living.
As a result of the indexing of the income levels in April, 1977, a family consisting of two adults with two children living in Southern Manitoba is eligible for full subsidy if its annual net family income is $9,000 or less. The same family living north of Manitoba's 53rd parallel is eligible for full subsidy if the annual net family income is $10,540 or less. Beyond these two income levels, the families contribute an average of 50% of each additional dollar earned towards the cost of care until the income level reaches $15,240 in Southern Manitoba or $16,780 in Northern Manitoba, at which point families are required to pay the full cost of care.
20 Day Care Co-ordinators, located in eight regions throughout tM province, monitor the programs offered by the community facilities and provide program and administrative guidance and resources. Through the co-ordinators a variety of support services have been made available to the day care facilities. Public health nurses now regularly visit many day care facilities and include the preschoolers in their regular immunization program. Home economists are providing nutrition counselling and advice and audiologists are testing children for hearing difficulties and making referrals when necessary. To reflect the changing needs of day care consumers and providers, several modifications were made in the Child Day Care Program during 1977. Included in these modifications was an increase in the maximum fee that could be charged by day care providers from $5.00 to $6.00 for " full day of care and from $2.50 to $3.00 for a half day of care. This increase was the first in the cost to conSLlmers of day care services since the program started in 1974. Secondly, in 1977 tM government introduced a system of audit grants of up to $600 to reimburse day care centres for the cost of an annual audit. Thirdly, commercial centres which are presently operating in the province and which were established prior to September 1974 were allowed to accept a limited number of children into their program who were eligible for subsidy.
21
COMMUNITY SERVICES DIVISION
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23; Community Services Division The Community Services Division is responsible for the province-wide delivery of comprehensive health and social services, including Community Mental Health and Community Mental Rutardation Services. These services are provided through eight regions throughout thl3 Province of Manitoba, namely, Winnipeg, Eastman, Interlake, Parklands, Central, Westman, Norman and Thompson. Support services and some dire_t services are provided by various Program Directorates administered from divisional headquarters in Winnipeg. Central support services include: Public Health Nursing; Home Economics; Health Education; Child and Family Services; Office of Continuing Care; and Medical Public Health Services. Major field services offered by Community Services Division include: Child Welfare; Family Counselling; Community Mental Health; Community Mental Retarda tion; Community Rehabilitation (Mentally III, Mentally Retarded, and Physically Disabled); Home Care; Services to the Well-Elderly; Public Health Nursing; and Health Education. Although Income Security, Employment Services, Day Care, and Probation Services are administered through other departmental divisions, the above programs support these services and result in a multi-disciplinary approach through regional operations.
Medical Public Health Branch The Medical Public Health Branch is made up of the following program areas: Clinical Health Services, Venereal Diseaso Control and Preventive Medio:al Ser·lices. The programs of Public Health Nursing, Education & Library Services and Home Economics also relate directly to the Medical Public Health Branch. The Public Health Services that are provided throughout the provincial scene are monitored by the Medical Public Health Branch. Regional Services are provided through the combined efforts of local staff supplemented by additional resources if required.
Specialist medical input from the Medical Public Health Branch is provided to the Public Health Inspection program presently being carried out by the Department of Mines, Resources and Environmental management.
The Medical Public Health Branch provides direct liaison with the Office of Mental Health and Rehabilitation Services assisting with the delivery of program services.
The Medical Public Health Branch also maintains a direc~ link with the Occupational Medicine Branch (Department of Labour) now responsible for admini stration of regulations under the Workplace Safety and Health Act.
Clinical Services Part of the Medical Public Health Branch, Clinical Services has programs in Maternal and Child Health, Family Planning, Family Life Education, Screening Programs and Hearing Conservation, and maintains the Congenital Anomalies Registry.
Basic activities otthe branch are consultation, program organization particularly in prevention and early case finding, public and professional education.
The Congenital Anomalies Registry is one of 5 Provincial Registers cooperating with the Federal Surveillance Register in Ottawa. During the year, Dr. A. Hunter was appointed honorary consultant in Genetics. As a result there has been improved use made of case reports to the Registry by contacting doctors to recommend genetic counselling where indicated. A special survey of Down Syndrome cases (Mongoloids) was conducted to try to ascertain the cause of an unusual apparent increase in incidence, particularly in babies of younger mothers. 24 J Screening Programs have been im;.>roved by introducing a new technique to screen for Congenital Hypothyroidism. The first case was detected within a month of starting the program, and was placed on treatment at 11 days of age. This test was added to the Metabolic Screening Program which discovered another case of P.K.U. during the year. Cooperation with a community group led to the development of a Tay-Sachs screening program. Tay-Sachs Disease is a fatal inherited disease particularly affecting one ethnic group. The review of School Vision Screening with the Department of Education continued. Scoliosis screening is being introduced by pilot projects. The Provincial Hearing Conservation Program began to improve services to rural Manitoba. An office of Hearing Conservation was established in Clinical Services. An Ear, Nose and Throat Specialist travels to all rural regions. Regional Hearing Centres were established in Westman (Br-..• don) and Thompson Regions. These centres will provide comprehensive hearing services tor all age groups and are a tremendous improvement in service. They have a priority to focus on School and Preschool Children, utilizing a Newborn High Risk Registry to try to find deafness early, before the child's language development, educational achievement and socialization suffer. Portable equipment enables outreach programs to be organized. A permanent sound-proof booth at the Centre will be used for complete hearing assessm0nt and rehabilitation. An Audiologist, an Audiometrist and a Teacher of the Hearing Impaired will staff the Centre. The Mobile Audiological Services Program was transferred from the Health Sciences Centre to the Office, and now provides service to rural regions. It comple ments the Department of Education's school program, by checking infant and pre school children, including those in Day Care Centres. A research project is being conducted to correlate the findings of hearing testing with the visual examination of the eardrum and the impedance bridge findings -impedance measures response of the eardrun, '0 air pressure and sound conduction. A Maternal and Child Health Advisory Committee continues to review programs and make recommendations to the Minister. In Family Planning and Family Life Education, workshops, seminars and conferences have been held in all Health and Social Development Regions with native women's groups, university faculties, departmental staff, schools, community organizations, agencies, radio hot-line shows, shopping centres, church groups. . Publicity was given to the risk of Thyroid Cancer in people who had radiation of the head and neck in childhood prior to 1960.
Venereal Disease Control Last year there was a noticeable change in attitude among physicians and nurses towards the prevention of the more serious complications of gonorrhoea resulting in better case management. Statistically the numb' of reported cases of laboratory confirmed gonorrhoea kept pace with last year. (See table) The Directorate works with the professions in updating their members in this field. Last year educational conferences were conducted with approximately six hundred student nurses in seven different schools; with nursing graduates working in our major hospitals and health centres: at the Mount Carmel, Aikins Street and Klinic centres; with the staff of our correctional institutions; at Headingley and Stony Mountain jails; with the City of Winnipeg's Public Health nurses for both general updating as well as specialized preparation for work in schools; for several public health nurses working in the eight regions of Manitoba; with members of the Manitoba Medical Association at district meetings; and at local meetings of medical staff. Four three-day seminars on contact work for some thirty public health nurses Were held throughout the province, In addition, planning conterences and workshops were conducted with the faculty members of seven schools of nursing, with the Manitoba Association of Registered Nurses, with the Manitoba Medical Association's special committee on
25 venereal disease, with hospital administrators and regional directors, and with Education and Library Services for future programming. The orientation of new staff both Federal and Provincial is a continual activity of the Directorate. The Directorate worked closely with the Medical Services Division of Health and Welfare Canada in the preparation of two video-tapes to assist in disseminating new information among their field nursing personnp-I. There was also an exchange of information with workers in North Dakota and Minnesota in the interest of improving communication. The Directorate was responsible for the co-ordination of all case and contact information involving over fifteen thousand interviews in 1977. Most of the actual inter viewing is carried out by personnel in the eight regions. Daily consultations are held with physicians with respect to case management and exchange of information. With the help of the Cadham Public Health Laboratory and of field nursing staff, the Directorate conducted a serological survey of over two hundred people in a high risk community where infectious syphilis was evident. The investigation which followed brought to light over twenty infected persons who were given prompt care. Since then the outbreak has stabilized. The persistent problem of greatest concern to the Directorate is the delay in disease notification still frequently encountered. These delays are directly re sponsible for the large number of people frequently encountered in hospital with pelvic inflammatory disease and disseminated gonococcal infections. Recent studies have shown that the average cost of hospitalizing a patient with the latter averages $2238. Five instances of failure to notify venereal infection after three months were brought to the attention of the College of Physicians and Surgeons of Manitoba for action. An estimated 32 cases of chancroid were reported during the year. This is a marked reduction over last year's reported incidence of 105. The outbreak, which was confined mostly to residents of the Winnipeg area, appears to be subsiding. Consider able credit for the management of these patients is due to the work of Drs. A. Ronald and G. Hammond of the Department of Infectious Diseases at the Health Sciences Centre. REPORTED INFECTIOUS SYPHILIS AND GONORRHEA (LABORATORY CONFIRMED)
MANITOBA 1967-1977
INFECTIOUS SYPHIL.lS GONORRHEA
Rate Per ~ate Per Year Number 100,000 Manitobans Number 100,000 Manitobans 1967 135 14.0 2,505 260 1968 112 11.5 2,417 249 1969 188 19.2 2,673 273 1970 121 12.3 2,856 290 1971 124 12.5 3,306 334 1972 108 10.9 3,467 349 1973 135 13.5 3,567 357 1974 92 9.1 3,577 354 1975 20 2.0 4,246 417 1976 17 1.7 4,728 473 1977 20 1.e 4,803 443
Note: Infectious Syphilis with reported primary and secondary lesions.
26 Preventive Medical Services The role of this section is to maintain surveillance of disease activity within the province so as to prevent or control diseases, to mitigate the harmful effects of ill health and to promote positive health. The activities of the section can generally be grouped into Communicable Disease Surveillance and Containment (including Tuberculosis Control), Active and Passive Immunization, Rheumatic Fever Prevention, Essential Drug Programs, Traffic Accident Prevention and Education.
Communicable Disease Control Under provisions of the Disease Control Regulations (Manitoba Regulation P210P;) communicable diseases are reported to the Chief Provincial Epidemiologist by Regional Medical Officers of Health, practising physicians, hospitals, laboratories, etc. These reports are used to initiate control action such as isolation, quarantine, case finding, case-holding, contact tracing, placarding and early treatment and the statistics derived from the reports are transmitted to the Government of Canada and to the World Health Organization as part of the on-going global surveillance of disease. As shown in tables, the !evel of reportable communicable diseases in Manitoba was satisfactory in 1977 and no significant change in disease trends from recent years was seen. Highlights of the year are documented below.
Influenza The potential threat of an outbreak of influenza due to A/New Jersey (Swine) influenza fortunately did not materialize during the 1976-77 Influenza season. This coupled with problems encountered with mass immunizations elsewhere vindi cated the Manitoba decision to immunize only people in high risk groups. Despite the absence of any outbreaks of Swine influenza many valuable lessons were learned about the epidemiology and surveillance of influenza and about conducting large scala immunization programs. Significantly improved surveillance techniques were developed and are being carried on in the 1977-78 season in cooperation with other agencies (laboratory monitoring, weekly telephone surveys, monitoring of Canadian Forces Base, Winnipeg, etc.)
A moderate outbreak of influenza due to the A/Victoria strain was seen in Manitoba in April and early May 1977, much later than the normal January/February occurrence of the disease. Despite this outbreak and a similar one in 1976, it is estimated that approximately l'ne-half of the adults in the province remain susceptible to A/Victoria and it is anticipa>ted that this will be the predominant strain causing disease in the 1977-78 influenza season. For this reason, the Department once again recommended and provided influenza vaccine for persons at high risk (those with chronic respiratory, cardiac, renal and metabolic disease and those over 65). Almost 40,000 doses of vaccine were Qrdered and distributed by mid November.
Western (Equine) Encephalithl The monitoring prograrr. for Western (Equine) Encephalitis (WEE) instituted as a result of the 1975 epidemic provided an early vyarning of a potential threat of an outbreak in 1977 and as a res"dt of this surveillance an aerial mosquito adulticiding program was initiated in seven Manitoba communities. Three human cases of WEE were confirmed in Winnipeg (in 3 males aged 16, 64 and 65 years). In addition, although not proven, 4 persons in Dauphin and Winnipeg were considered prQpable cases. As well as the WEE cases, there were 2 confirmed cases of encephalitis due to group B arbovirus (St. Louis Encephalitis or Powassan). Despite an earlier than usual appearance of the vector mosquito, the relatively low numbers of Culex tarsalis and the favourable dry weather in the spring led to early optimism that an outbreak of Western Equine Encephalitis would be averted. However, the onset of wet weather in June with a resultant marked increase in the level" ..,f Culex tarsalis coupled with the detection of virus in many of the mosqUito POO, l'li" ,,:ed, the appeari:\nce and rapid increase in numbers of horse cases in mid July aliu evidence of infection in practically all of the sentinel chicken flocks resulted in increasing concern and finally by the end of July to d recommendation to attempt
27 eradication of the vector mosquito through a program of aerial spraying. Aerial spraying began on August 14, 1977, coincident with the onset of cool unseasonable weather and the two factors combined to cause a dramatic reduction in mosquito levels. No transmission of disease in chickens or humans could be documented after the middle of August, but it is impossible to determine the relative importance of weather and spraying. Experiments carried CI.Jt during the spraying, however, revealed that the program was 80-90% effective in eradicating mosquito vectors. The monitoring system, therefore, appears to be effective and to be able to predict the presence of disease threat early enough to allow preventive action to be taken. With increasing experience it should be possible to make such predictions at an earlier time and thereby prevent the onset of any significant numbers of human cases.
Unusllal and Imported Diseases ,\ case of cholera was reported in March 1977 in a 66 year old woman who had recel'",tly immigrated from Southeast Asia. This represents only the third reported case of (.holera in Canada this century. The disease was unquestionably acquired abroad and no secondary transmission was observed, As in previous years, several cases of malaria were reported in individuals return ing from infected countries. A single case of leprosy, also acquired abroad, was reported in an immigrant and the patient is under adequate therapy. Members of the section participated in developing updated contingency plans for coping with importation into Canada of unusual or dangerous diseases from abroad. A case of tetanus was reported for the first time since 1974 in a 64 year old man whose Immunization history was uncertain, This is a rare, often fatal disease occasionally observed in older adults who have not had the benefit of immunization which is almost 100% effective, Disease Trends Measles Measles incidence in 1977 was less than one half that in 1976, continuing the favourable trend observed in 1976 and in contrast h) the increasing measles incidence due to decreasing immunization levels observ(!d in many other areas of North America. This would confirm the findings of the 19'15 serologic survey and the ongoing immunization surveillance which indicate a generally satisfactory level of measles immunization in Manitoba. It should be noted, however, that pockets of un immunized children still occur. Unless vaccination programs continue to be em phasized, localized outbreaks and periodic increases in the measles incidence will still occur. Hepatitis As is expected every 7 to 9 years, the incidence of hepatitis A (infectious hepatitis) showed a dramatic increase in 1977. Several investigations in communities with particularly high incidence failed to reveal any common source suggesting that the increased incidence observed merely ~eflected the natural history of the disease. Immune serum globulin is distributed free of charge to all close contacts of cases of hepatitis A in an attempt to reduce the incidence of disease. The number of cases of hepatitis B (serum hepatitis) reported in 1977 showed a significant drop from the previous year. The explanation for this is not known. Streptococcal Sore Throat There has been a dramatic and unexplained increase in the incidence of streptococcal sore throats reported over the past several years. Part of the increase is undoubtedly due to more intensive surveillance and better investigation and follow up of cases. However, it is believed that there has been an actual increase in the number of cases over the past 3 years, a phenomenon which has also been noted In other jurisdictions. The explanation for this is uncertain and its significance is 28 J unclear. While they are not reportable, there does not appear to have been any significant increase in the complications of streptococcal sore throat (rheumatic fever and acute glomerulonephritis).
Vaccines and Immunizing Agents Preventive Medical Services makes and periodically revises recommendations for the protection of persons against communicable disease and provIdes a wide variety of immunizing agents free of charge to patients through the health unit offices or practising physicians. Agents provided include those for routine immunization against diphtheria, whooping cough, tetanus, polio, measles and mumps as well as rubella, cholera, typhoid, smallpox and rabies for certain special risk groups. Immune serum globulins are provided to susceptible persons exposed to disease such as hepatitis, measles, rubella, diphtheria and tetanus. Surveillance of (abies in animals is maintained in cooperation with the Health of Animals Branch and serum and vaccine are provided for persons exposed to such animals. In addition, personnel in Preventivt:: Medical Services provide consultative services to physkians and nurses with regard to immunization and management of patients exposed to various com municable diseases.
Services to International Travellers This office maintains up-to-date information on vaccination and other require ments for foreign travel and makes this information available regularly to physicians, health units and travel agents. Vaccination certificates are authenticated as required by International Agreement There has been a dramatic increase in the number of individuals requiring immunization for overseas travel and in addition to other clinics established in the City of Winnipeg, Preventive Medical Services now operates two regular vaccination clinics weekly. The Department also continues to participate in an active program of surveillance for parasitic diseases in returning travellers and im migrants in cooperation with the Infectious Disease Service at the Health Sciences Centre.
Prevention of Rheumatic Heart Disease I Free antibiotics are supplied for long-term use to patients who have had one or more attacks of rheumatic fever. Details of the number of persons benefiting under this program and the drugs provided during 1977 are noted in the statistical appendix.
Drug Program Through Preventive Medical Services, free drugs are provided to certain indi viduals with life-threatening, long-term conditions (including diabetes) forwhom drug
I costs would be prohibitive. I n addition to providing drugs the staff of the regional I offices of the Department provides supervision of medication in any necessary health teaching and surveillan\~e. With the exception of patients with cystic fibrosis and severe costly metabolic dificiencies, no new patients were enrolled in the program in 1977.
Tuberculosis Control The tuberculosis registry collects, maintains and distributes accurate information regarding cases and contacts of tuberculosis and coordinates the activity of field units in contact tracing and examination. case-holding, case-finding, domiciliary chemotherapy, etc. Basic statistical information concerning tuberculosis is summar ized in the statistical appendix. More detailed information on the program is published annually in the Report of the Sanatorium Board 01 Manitoba.
Traffic Accident Prevention Medical expertise is made available to the Motor Vehicle Branch concerning persons suffering from conditions which might make it dangerous for them to continue to drive. In addition, the section monitors the occurrence of accidental deaths and makes recommendations from time to time as to measures to control these accidents.
29 Health Education The professional staff of this section are regularly engaged in teaching preventive medicine and epidemiology to students of medicine, nursing, pharmacy etc. as well as providing regular in-service sessions for departmental staff. Speakers are provided for non-professional organiL'ations on request and professional staff frequently take part in informative television and radio programs. Dental Services On November 15,1976, the Manitoba Children's Dental Program was officially opened. This is a province-wide care program operated by the Department using mainly salaried professional staff. Its delivery mode was designed to take advantage of existing community owned facilities (schools) and resources (departmental dentists and assistants). The program also uses a new class of auxiliary, the dental nurse, to provide the majority of the care services.
Initial Program Areas In the fall of 1976 the Manitoba Children's Dental Program began to provide care to children born in 1970 (six year olds) who lived in the I nterlake Region (5 school divisions), in the north of the Parklands Region (Swan Valley, Duck Mountain and parts of Frontier School Division) and in Flin Flon. An estimated 1,400 six year old children were offered the services in June of 1976. In February of 1977 children born in 1971 (5 year olds) were made eligible and were enrolled as the teams made their second visit to the schools in the spring. Additional children aged 3-12 were provided with treatment when the staff were operating in remote areas where there was no other access to dental care services. In all, approximately 3,000 children would have been eligible for the program. During the initial year clinical staff (equivalents) assigned to the program were: 2 Dentists, 7 Dental Nurses, 13 Dental Assistants. Additional staff in clerical, admini strative, equipment installation and repair services were present in the regions as well as Central Office support staff. Dental nurse and assistant teams were located in Flin Flon, Swan River (2). Ashern, Gimli, Stonewall and Selkirk. The areas were chosen in an attempt to locate staff central to the communities Which they serve.
Standards of Program 1. Qualifications of Staff: Dentists are licensed by the manitoba Dental Association. Auxiliaries are certi fied by the Dental Health Workers Board under the Dental Health Workers Act. 2. Clinical Standards: The Manitoba Children's Dental Program Standards Committee is responsible for advising on the standards that the program should achieve. Two representatives from the Manitoba Dental Association and dentists from the program serve on the Committee with the Executive Director as Chairman. The Standards Committee has developed the initial list of services that should be provided and has approved the guidelines for referred services. In addition, the Committee reviewed and approved the written clinical standards and guidelines that are used by the program field staff. Organization of Staff The Regional Dental Officer has program responsibility in the region and is usually a dentist with graduate training in public health. Regional Dental Officers also serve as clinical supervisors. Supervising dentists are responsible for the clincial supervision of, and the quality of, care rendered by the dental nurse teams. In addition, they also provide clincial services, i.e. all examinations and treatment plans plus some treatment of children which the nurses are not permitted to provide. Dental nurse teams provide, upon the written instruction of a supervising dentist, clincial services to the children. By regulation dental nurses are permitted to provide:
30 1. examination services - taking of radiograms and charting existing oral condition; 2. preventive services -topical fluorides, diet counselling, oral hygiene instruction, classroom education; 3. restorative services - infiltration and block local anaesthesia, cavity preparation and insertion of plastic (amalgam and anterior) restorations and stainless steel crowns; 4. endodontic services for primary teeth (pulpotomies); 5. surgical services-extraction of primary teeth; 6. other services as outlined or amended by regulation.
Dental assistants are trained to provide both chairside assisting, limited diagnostic services plus preventive services (taking and mounting of radiograms, topical fluoride application, etc.) 'and assistance for treatment services (application and removal of rubber dam). In the first year each dental nurse usually had two dental assistants.
The regional program administrative support is provided by an administrator and clerk plus an equipment repair person to install and maintain the clincial equipment.
Program Directorate Functions include budgeting, development of equipment and supply lists, distribution of equipment and supplies from the warehouse, central repair of equipment, fluoridation monitoring and information, development of specifications for computer monitoring system, maintenance of operational manual, professional staff development, information to public on the Manitoba Children'S Dental Program and other dental matters, staff development, recruiting student dental nurses, and resource to region on administration and program standards.
Development of Clinical Facilities Clinics ard developed in existing schools which are estimated to require at least 150 hours of care when all children aged 3-12 become eligible for the program. Smaller schools, or larger schools scheduled for demolition, are served with totally portable eqUipment. Clinics are designed to meet the requirements of the dental program, other schoo! public health services and the schools themselves since the USEI of the space is to bE~ shared. Renovations are tendered by the local school division with the Department of Health reimbursing the division for the monies expended. Twenty-five were developed for this first year's program. New schools or additions to existing schools are allowed up to 600 square feet of clinical space for visiting health services. In the very large schools the space is separate for the school health nurse as the dental clinic could be in use all year.
Equipment Most equipment is portable and is assigned to the dental nurse teams who carry it with them and set it up in each clinic. In renovated (permanent) clinics eVen though a dental chair, light and compressor are installed the portable chair was set up as a second treatment chair to be used by the second dental assistant to provide preventive services. '
Implementation The Manitoba Children's Dental Program is operated with support of the Depart ment of Education and local school divisions. The nine school divisions which were offered the program in the spring of 1976 were expected in return to provide space for the clinics, support for classroom prevention and access to school enrollment !istJ.
Operation Upon completion of the documentation, the examining dentist a.rrives at the school to provide the Initial examination and written treatment plan. Parents are invited to this appointment so they cal1 be informed of their child's needs.
31 Usually, within the month, the dental nurse team arrived at the school, set up the equipment and commenced the treatment as prescribed by the tientist. Parents again are speci1ically requested to attend the preventive visits and invited to attend the treatment visits if they wish. At the time of the initial examination the examining dentist has the responsibility to refer children who cannot be treated in the school clinics to private dentists. These referrals may be based on a medical or behavioural complication, or on the need for a service that the dental nurses cannot provide, e.g. extraction of a permanent tooth. The referred services are paid for by the plan on the basis of a fee schedule negotiated with the Manitoba Dental Association.
Enrollment and Utilization While the children born in 1970 were offered the care in June, by January, 1977 it was evident that the teams were going to complete the children in the early spring. Thus, after the children born in 1971 were declared eligible the teams began enrolling these children on the return visits to their schools. The parents of the 1971 children were invited to enroll by means of an information package sent home with each child and by follow-up telephone calls. In remote areas a dentist and dental nurse team were in attendance to provide care for aU ages with the nurses restricted to children aged 3-12. Detailed utilization statistics for the program appear in the statistical appendix, but in overall terms, the following apply for 1976-77 for children born in 1970 and 1971. Children invited 2,685, children examined 2,046 and service completed 1,724. Utilization of children born in 1970 was 82%, for those born in 1971 the 8 month eligibility yielded a utilization figure of 68%. Detailed Information on services provided and preventive activities appears in the statistical appendix.
Additional Activities In the other Health Regions preventive activities were continued although with much reduced staff levels. A new thrust in school prevention was undertaken with the introduction of the fluoride rinse program in Eastman and Central Regions. Of 65 schools approached, 62 implemented the program of weekly fluoride rinses for children who usually attended grades Kindergarten-III. An estimated 4,650 children or 89% of those eligible participated in this. Plans call for the extension of this program into all regions. Other activities in these regions are outlined in the statistical appendix. In July, the Cabinet approved a system of grants to municipalities who own and operate their own water systems for fluoridation. To date grants to purchase and install fluoridation equipment have been made to Birtle and Melita. This year, the division assisted in the completion of a survey of 1,200 children aged 5, 9, 13 and 17 using the newly revised World Health Organization methodology. Grants were made from dental services budget to assist in the start of dental care for St. Amant Ward and to assist in the maintenancfl of the dental program at Churchill Health Centre. Public Health Nursing Services The Public Health Nursing Services Directorate is a central professional group responsible for program direction, establishment and maintenance of standards, pro gl',am evaluation, and staff development. The Directorate acts as a resource for information on public health nursing for management, other directorates and depart m(mts of provincial and federal governments as well as for regional staff.
Of the many professionals who make up the Health and Social Development team • pl'oviding services to people in the Regions, the individual usually most visible is 1 the public health nurse. She is the primary care worker, and through her many of the services of other disciplines are interpreted and delivered. Public Health Nurses provide a full range of services in a generalized public health nursing program. Emphasis is on prevention and helping individuals and families become responsible for their own health. This thrust is apparent in the new Objectives and Standards of the Maternal, Infant and Pre-School and Adult Services. Testing of these Standards was done in selected Regions and evaluations showed general acceptance and positive response from planners and providers of services.
Maternal Services is receiving special emphasis. Obstetrical Health Nurses from the large hospitals and nurses from the Directorate met this year and established new policies and guidelines to improve continuity of care in the post partum woman and the newborn. Workshops on Psychological Preparation for Childbirth conducted in five Regions were attended by eighty public health nurses. A committee from Winnipeg Region, including the Maternal and Child Consultant, revised portions of the Manual for Education of Expectant Parents for use of their staff. The revision includes Evaluation Guidelines and Questionnaires as well as the compilation of the exercise handouts into a booklet. Obstetrical nurses from Brandon General Hospital participated in classes by o:5sisting public health nurses with coaching and supervision during exercise sessions. On an average, 75% of the series of classes conducted by provincial public health nurses had both parents enrolled. Assessments of infants and pre-school children continue 111 1977, twenty staff nurses were instructed in Denver Developmental Screening Tesling at Workshops conducted by Directorate staff in two Regions. Nurses so instructed have incorporated this developmental screening test into their services at Child Health Centres. The Child Assessment Project, carried out in some remote and medically under serviced areas and selected Child Health Clinics, was completed in May 1977. The schedule and gUidelines the Public Health Nurses were given to follow in the project were basically those incorporated into the Standards for the Infant and Pre-School Services. Public Health Nurses involved were enthusiastic regarding developmental screening, especially in helping parents gain in understanding of child development. A study of Child Health Clinics was made in Eastman, Interlake, and Winnipeg Region's during the summer of 1977 utilizing STEP students for interviewing. The purpo~t) of the study was to determine the percentage of mothers who used the Child Health Clinics, the factors which influenced them to use or noll use the service, and the user's perception of the service. The results of this study indicated that the r.>ercentage of users varied among Regions While the level of sa.tisfaction of users Wt,.s relatively high throughout. Pre-school children received increased service through assessment of three year aids during home visits and at Child Health Clinics and services provided at Day Care Centres. Some nurses in Winnipeg Region have initiated short in-service sessions on growth and development anti fundamental child care for Day Care Centre staff. The monitoring of the status of immunization of children in all Regions continues. Results tabulated show a decided increase in status by two years of age over a six month period, as seen in the following table.
33 Percentage of Children Aged Six Months to Two Years Immunized by Antigen Received as of December 31, 1976 and June 3D, 1977.
December 31 June 30, Antigen Received 1976 1977 Initial Series' of D.P.T. & T.O.P.V. by 12 Months of Age 78.9% 75.9% Initial Series and Reinforcing Dose of D.P.T. & T.O.P.V. by Two Years of Age 40.0% 65.2% Measles Vaccine by Two Years of Age 61.9% 76.1% Complete2 Immunization by Two Years of Age 38.8% 56.8% 'Initial Series-Three doses of Diphtheria pertussis Tetanus and Trivalent Oral Polio Vaccine. 2Complete-lnitial Series and Reinforcing Dose of Diphtheria Pertussis Tetanus and Trivalent Oral Polio Vaccine and Measles and Mumps Vaccine.
Immunization is a responsibility shared by public health nurSAS and private physicians. Since the advent of Medicare consumers have freedom of choice with no cost involved and use whichever source is preferred, most accessible, and con venient for them. Public Health Nurses provide immunization at Child Health Clinics, in schools, and at special clinics for adults; (e.g. overseas travellers, flu vaccine for special categories). During the Western Equine Encephalitis outbreak in 1977, public health nurses from Winnipeg Region and the Directorate manned Emergency Measures Organization Health Desk telephones around the period of aerial and ground spraying.
Public health nurses provide a wide range of family services, including health promotion, health supervision, general counselling, and services for those with special needs. Provincial Public Health Nurses held regular clinics in over 40% of Elderly Persons Housing Units where there was a population of over 50, with an average attendance of 15 per two, three hour sessions. They also provide services to clients in the Continuing Care Program albeit to a limited degree in Winnipeg Region. These services included admission assessments and reassessments, nursing care planning, counselling and support, teaching, anticipatory g,mitll1Ce and evaiuation.
The Directorate worked in collaboration with other directorates, agencies, and associations regarding, for example, policies, programs, priorities and standards, coordination of services, collection of statistics and recording systems, and employee performance appraisals. Public Health Nurses from the Directorate and all Regions provided input for the Program Review-Public Health Nursing Services undertaken by the Program Analysis and Review Branch.
Staff development services this year included one provincial orientation seminar for 17 new staff nurses, meetings in five Regions for orientation at the Regional level, and two educational conferences with speakers on Delivery of Mental Health Services and Mental Health Concepts and Their AplJlication in the Community, Myths and Realities of Aging, and Overuse, Misuse and Interaction of Drugs. In addition, the In-Service Education Consultant oriented the new Senior Nurses at Morden and Swan River. Consultant service was provided in Regions on request.
Presentations were given to undergraduate students at the University of Manitoba, Health Sciences Centre, and Red River Community College. Experience in the community was provided for 137 nursing students from Manitoba diploma courses. In addition, Winnipeg Region selected 1.vo families for ea~h of the 54 fourth year University of Manitoba nursing students which they followed during the first trimester. One student from the post-graduate diploma ~rogram in Public Health Nursing from the University of Windsor had three weeks block field work in Winnipeg Region. Observations at Child Health Clinics and home visits were provided for 41 Practical Nurse students.
34 Field Experience for Manitoba Undergraduate Diploma Nursing Students by Regions and Length of Experience
Length of Experience Expectant Parent Region 1-2 Days 4 Days 2 Weeks Classes Only Total Central 14 1 15 Eastman 2 2 Interlake 2 2 Norman Parklands 9 9 Thompson ~ Westman 30 3 33 Winnipeg 8 21 3 44 76 TOTAL 65 21 7 44 137 i..icensed Practical Nursing The Advisory Council devised a Program Evaluation Questionnaire and Criteria for Approval of Practical Nurse Programs in Manitoba. The Advisory Council pre sented the Evaluation Report of the Practical Nurse Programs and the Advisory Council's review of same to the Joint Ministerial Task Force on Nursing Education.
Number of Practical Nurses Licensed 1976 1977 Licenses Renewed 2968 3368 New Licenses 419 372 Applied for License from Out-of-Province 141 135
Home Economics Directorate The Home Economics Directorate is a centralized group of program specialists who provide a support service to the Departments of Health and Social Development, Northern Affairs, and Agriculture. The responsibilities of the Home Economics Directorate are to develop and assess program proposals, assist with program initiation and delivery, evaluate program effectiveness, train program delivery per sonnel, develop program materials and teaching resources, and co-ordinate and distribute program resources. NUTRITION EDUCATION is the major thrust of Home Economics services. Nutrition programs are preventative measures designed to correct problems described by the Nutrition Canada Survey. Of these, the priority is to improve the nutrition status of the pregnant woman and equipping her with knowledge of how to feed the new born infant. During 1976/77 a total of 2,784 pregnant women were contacted, representing a 55% increase from the past year. Research in the field of infant nutrition is increasing the knowledge in this area. Consequently, efforts were made in the past year to provide support to doctors and nurses as they become familiar with the new recommendations. With the school aged child program, emphasis continued to be placed on conducting workshops for teachers from grades K to 6 on how to use the nutrition curriculum to incorporate nutrition into the classroom. As a result 1,283 teachers were trairled. In addition, field home economists conducted model classroom sessions for 8,911 school children as a means of demonstration to teachers. Community nutrition education as a component of preventive health Dare has expanded. Staff provided information on family nutrition, weight contral. nutrition for the elderly, and the prevention of heart disease. The total nutrition program in rural Manitoba and the City of Winnipeg made 33,054 contacts. This year new resources were developed to teach infant nutrition. school nuUition, and nutrition as it relates to dental health.
35 MONEY MANAGEMENT has been the second area of priority of Home Economics services. Educational programs are designed to assist families and individuals manage their financial resources. As young families and families on limited incornes are under the greatest economic stresses, they are high priority clientele for money management programs. Although program activity is less than that carried out in the area of nutrition, increases have occurred. In rural Manitoba and the City of Winnipeg, field staff prO'1/ided individual assistance to 2,048 clients and conducted money management classes involving 2,076 r~dult contacts. HOMEMAKING SKILLS AND HOUSING, the other two areas of Home Economics services, have remained fairly constant in order to provide greater efforts in nutrition and money management. Programs that are designed to help people make their own clothing, refinish furniture, recover kitchen chairs, construct simple furniture and curtains help stretch the family income. Rising costs have necessitated programs that assist families in home maintenance, repair and improvement, particularly in rural and northern Manitoba. During the past year, 4,060 contacts were made through courses in how to sew clothing. Another 1,2BO contacts were made in courses in how to make home furnishings. The number of clients learning how to do their own home maintenance and simple repairs involved 1,055 contacts this year. EVALUATION has taken a prominent place in the program planning efforts of home economiCS staff both at the directorate and field level. A provincial reporti,1g system has been implemented and includes the activities of the three departments operating home economics extension programs. The Home Economics Resource Centre which is responsible for the distribution of educational resources to the field home economists as well as the general public, nurses, school teachers and other agencies has continued to show increases in requests. Education & Library Services The Education and Library Services directorate provides educational services, both direct and supportive, to departmental staff, schools, and the general public. Support services provided include a professional reference library service in the health and social development field for departmental staff as well as nursing and social work students. During fiscal 1977 efforts continued to make this service more accessible and responsive to regional personnel through belter and more frequent communication with field staff.
The film and publication service continues to supply 16mm. films to depart mental staff, schools, and the general public at a rate of about 1,000 bookings per month. New film acquisitions this year were in the areas of child abuse, parenting, and prenatal care. Printed health education materials continue to be in demand by schools, departmental staff, and community groups, with about 200 individual orders filled each month.
The graphic design section produced original artwork and layout services for some 15 separate projects each month; comprising such widely varied item!! as displays, posters, brochures, and nutrition games. Much of this work has been in support of the Home Economics program.
In addition to support services, Education and Library Services provides a central communication and consultation service for Health Educators on Regional staffs. Part of this service is the development of a consistent activities reporting system for all health educators. This provides for sharing of program information and consultation among all departmental health education staff and other interested parties.
Major emphasis during the latter part of 1977 has been on developing educational programming aimed at "Lifestyle" diseases connected with smoking, obesity, stress, lack of fitness, etc. Recent staff changes have provided us with special expertise in school health in keeping with current trends.
36 Child and Family Services Child and Family Services is a major program designed both to provide care for children in need of protection, and to provide "guidance, counselling and other services to families in their own homes for the prevention of circumstances requiring the protection placement of children," Statutory Child Welfare Services are offered through both private agencies (four Children's Aid Societies plus Jewish Child and Family Services) and Regional Offices of the Department of Health and Social Development (in areas where no private r, agent,' has jurisdiction). Voluntary family services are provided largely through the Regional Offices, ~ Services are designed to serve five specific populations: 1, Families and Individuals voluntarily seeking assistance with a problem, but for Whom there is no element of child protection involved, Most of these are people requiring Marriage or Separation Counselling, or Family Therapy; however, a wide variety of difficulties are seen, 2, Families with children who may come to the attention of an agency either voluntarily or involuntarily, but in which there is a definite element of risk to the child(ren) unless help is provided. 3. Children requiring temporary care apart from their families, in order that a family difficulty may be resolved, and/or that necessary treatment may be obtained, and the family may be harmoniously reunited. 4, Children requiring permanent care apart from their families, and therefore, in need of permanent alternative homes (preferably adoption homes). 5. Unmarried Parents. A contact is made with, and counselling and planning assistance is offered to all unmarried mothers under the age of 18. Service is also available on request to an unmarried mother of any age, and to Putative Fathers on the same basis, Over the past few years, the popdlation of children in care has decreased in number, but increased in the number a,1d complexity of problems presented. The majority of children in care (approximately 60%) are in the 11-18 years age range. In addition, because efforts are being made to maintain children in their own homes wherever possible, those children who MUST be brought into care tend to be very difficult to handle. Improved reporting mechanisms have brought to light increased numbers of child abuse cases, which are demanding of both staff and placement resources. Much of the effort of the Child and Family Services Directorate this year has been focussed on improving and standardizing the quality of service to children in placement. The Directorate has had substantial input into program planning and development of both institutions and group homes. Foster Home rates have been improved, and a complete revision of foster home policy is underway. Moreover, emphasis is being placed both on services to children in their own homes and on developing a continuum of resources to avoid Inappropriate placement. FUrthermore, initiative has beer taken by the Directorate to provide leadership in staff development for field people, and to ensure the monitoring of thE:l quality of all services. A new Child Welfare stf,tistics system is in full operation. Perhaps the major achievement of 1977 has been the development of program standards in all major areas. These standards have been written by Directorate members in conjunction with representatives from the Child Caring Agencies.
37 j',
Office of Continuing Care The Office of Continuing Care, established in September, 1974, is responsible for coordinating the Province-wide Home Care Program, assessment for placement into insured Personal Care Homes and Services to the Aged. Services to the Aged are delivered by departmental offices throughout the Province. Home Care services and assessment for placement in personal care homes outside Winnipeg are delivered through regional offices of the Department of Health and Social Development and District Health Centres, where the latter exist. In Winnipp.g, delivery is provided througr Winnipeg Regional Offices, major hospitals and the Victorian Order of Nurses. All government and private agencies delivering Home Care services have been coordinated into one delivery network, all utilizing the same guidelines and all participating in one Central Registry and one Program Reporting System. This makes it possible to prevent gaps and to eliminate overlaps and duplications in the delivery of service.
Services to the Aged Services to the Aged extends its program to the well elderly who need services to support normal community living. This has been facilitated through the maintenance of regionCl! information packets for use by regional staff and groups of senior citizens. Aged Services sta'if provide ongoing consultation in order to develop and support senior citizen coordinating councils, clubs and groups. In cooperation with the senior citizens groups, other governmental groups and community agencies, workshops have been conducted to encourage physical fitness, self care, pre retirement and retirement planning.
Home Care During this year, there has been a lev~!ling off of overa: l new admissions to the Home Care program indicating that, in its first three years of service, the prografl, ':flS overcome the backlog of need and is now resp·,mding to currently developing need for service. There has been, however, a nctable I:hange in the nature of services required. There is an increase in the number of Manitobans receiving Home Care services for short peiiods of time associated with increased earlier discharges from hospital, as well as an increase in the number remaining on the program for longer periods with increasing service requirements associated with advancing age. The number receiving Home Care services monthly has risen from an estimated 6,500 in November, 1974, to a known 7,000 in October, 1975, a known 8,000 in October, 1976 and to a known 8,700 in October, 1977. From November, 1976 until October, 1977, approximately 8,551 persons were admitted into the program and 8,345 persons were discharged. Thus, while the total number of persons being serviced each month has risen by only 700 this year, the number of persons benefitting from the program in the year has increased by about 1,000 to a total of 16,000. During 1977, of the number admitted to the program, about 19.9% would have had to be listed for Personal Care Home Placement, 29.2% would have had to remain in hospital for a longer priod, and 50.9% would have been at home without appropriate care. Of those discharged from Home Care during the year, 23.8% were placed in a Personal Care Home or hospital, 41.9% were improved and no longer needing Home Care, 18.7% were improved so that their care could be managed by the.l1selves of family, and 15.5% were deceased.
The Home Care Program has recruited and provided part-time community em ployment for professionals and para-professionals. In a typical month, throughout the Province some 1,500 persons are employed part-time to deliver the home help services needed, some 140 registered nurses, 45 licensed practical nurses and 72 aides and orderlies are employed part-time to deliver i~")alth services.
38 Over the past twelve months, as well as maintaining the delivery of services to individuals, the Home Care staff have increased their involvement with community leaders and groups in the development of volunteer support services. This has included the development of additional meal delivery programs, volunteer visitors and drivers as veil as volunteers to assist with shopping, snowshovelling, etc. While a new program reporting system for volunteer involvement is still not in place on all locations, we can estimate that there are 1,000 volunteers providing support services to those receiving Home Care in a given month.
Placement in Personal Care Homes With the Home Care progr£'m in place, there is a notable change in the demand for placement into personal cale tlOmes. More and more, those who are seeking placement are those with very heavy care needs or those without family supports to make it possible for them to remain at home with Home Care services. There has been some increase in the number receiving Home Care while awaiting placement. Priority for placement continues to be offered to those who must remain in hospital while awaiting placement and to those living in the community who have the most urgent needs.
39
MENTAL HEALTH and REHABILITATION
41 Mental Health and Rehabilitation Responsible to the Chief Medical Consultant, Mental Health and Rehabilitative Services provides services to the mentally ill and mentally retarded, and to persons requiring rehabilitation because of physical or mental disability. The following pages outline in some detail the nature and objectives of the systems that have been develop ed to provide these services.
Office of Chief Medical Consultant The Chief Medical Consultant is charged with the responsibility for all depart mental medical consultation and medical relations. This specifically includes areas in relationship to the Manitoba Health Services Commission, the College of Physicians and Surgeons, the UniverSity of Manitoba Medical School and other professional organizations and institutions. The Chief Medical Consultant has responsibility and relevant authority in regard to program development, standards and quidelines in mental health, mental retarda tion and rehabilitation services and for Forensic Services and Community Services for Children. The Executive Director of Mental Health and Rehabilitation Services, the Director of Forensic Services and the Co-ordinator of Community Services for Children report direct to him. The Chief Medical Consultant also acts as Director of Psychiatric Services as outlined In the Mental Health Act.
Office of Mental Health and Rehabilitative Services The Office of Mental Health and Rehabilitative Services, under the direction of the Executive Director, co-ordinates program development in mental health, mental retardation and rehabilitation services. The Selkirk Mental Health Centre, the Brandon Mental He,'llth Centre and the Manitoba School for Retardates report to the Executive Director of this office. The Executive Director is also responsible for provision of program qUldance to each of the Department's Regional Directors in matters of mental health, mer.,:!1 rcltardation and vocational rehabilitation. The Executive Director reports directly to the Chief Medical Consultant who is directly responsible for services to the Minister, Department of Health and Social Development.
Mental Health System Mental health services attempt to ensure access to services for all Manitobans regardless of place of residence, tnat reflect the most current and proven practice in North America and Europe. 1. Services emphasize providing help for the individual in need in his/her home and community and should be as close to the individual's normal residence as possible. 2. Services strive to maximize client dignity, autonomy and restoration of function with the least possible disruption of his or her lifestyle.
Mental Health Centres Both historically and professionally the mental health centres (Selkirk and Brandon) have been the repositories of expertise for dealing with those who have serious psychiatric difficulties. The staff at each institution has been trained to deal with behaviour that is often considered too disruptive for general hospital or com munity residential carp Frequently individuals experiencing psychiatric difficulties need the separate but coordinated talents of professionals in psychiatry, psychology, nursing, social work and occupational therapy.
42 Psychiatric services can be provided from a community base jf personnel are aVailable and co·ordinated, but it is not economically possible at this time to provide residential treatment of this sort to all parts of Manitoba.
Brandon Mental Health Centre Mandate Brandon Mental Health Centre provides a comprehensive mental health service to approximately 210,000 residents in the Westman, Parklands, and western half of Central Regions. This service includes residential treatment and care for aC!.Jte, medium and long-stay, and psychogeriatric patients, day care and partial hospitaliza tion, direct outpatient and follow-up programs, and back-up consultation to com munity mental health workers and other human services staff in the regions. Buildings and Resources 1977 saw the completion of the first phase of renovations to the Valleyview building providing; (a) added fire protection through the installation of heat and smoke detectors, plus a complete fire alarm system; (b) improved electrical wiring; and (c) upgrading of patient facilities, including the installation of Century bath tubs. Renovations and additions are nearing completion that will modernize the laundry and provide for energy conservation via the use of a heat reclaiming unit. Programs The major program thrusts of 1976 continued to be developed in 1977. The Executive Committee and senior program staff have formed a Joint Liaison Committee for the planning, implementation, and evaluation of all programs operated by the Centre.
Team I completed integration of two wards thus bringing the number of inte grated wards in the Centre to six.
Team II opened a residence on the Centre's grounds to train pre-discharge patients in community living skills. This program activity has been expanded to Teams t and III as well.
Team III has increased its social service staffing to improve service delivery to Park lands, and the travelling clinics to Dauphin and Swan River have been stepped up. This has been made possible by the hiring of a part-time psychiatrist and the con tinued use of aircraft transportation. Progress is being made in the clinical records of all teams with the elimination of duplicate files, the microfilming of patient records, and further expansion of the Problem Oriented Record. Evaluation All the major program departments have established audit procedures based on peer review. An interdisciplinary audit committee has been struck to promote the sharing of experiences across professional disciplines. Internal reviews are underway on multidisciplinary team functioning and children's services. Studies have been conducted on admission patterns and the efficacy of various treatment procedures and programs. Under the direction of the Statistics Committee, client and management informa tion systems have been developed that have served as prototypes for provincial application. The administration has commissioned and received special studies reports on the pharmacy and clinical records departments.
In November, the Centre was surveyed by the Canadian Council on Hospital Accreditation for renewal of its accredited status.
Selkirk Mental Health Centre The Selkirk Mental Health Centre is organized into units serving specified geographic/catchment areas. An in-patient population requiring extensive and, at times, prolonged service resides at the Centre. I 43 In-Patient Services Selkirk Mental Health Centre's in-patient population has shown a slight decrease over the past year. For 1976, the average daily population was 337.3, whereas for 1977, the same average was 329.8. The orientation of this Centre is eclectic, adopting treatment programs to meet the individual patient's needs. Multidisciplinary teams allow for the various professions to make their contributions toward patient recovery. Winnipeg Services The Wjnnipeg team provides service to Winnipeg residents both in the com munity and as in-patients. Service to approximately 1,200 former patients living in the Winnipeg Region is provided by psychiatry, psychology, and occupational therapy. In-patient census is approximately 100 covering 4 wards, with an average turn over of 15 patients per month. The Winnipeg team's caseload consists of a large proportion of the chronic population; a concern for some time. The Winnipeg team is also responsible for all Forensic cases admitted to Selkirk Mental Health Centre. Interlake Services The Interlake mental health team has been re-organized such that a considerable amount of its emphasis is on in-hospital services. A psychiatrist, psychologist, and social worker provide frequent consultation to the Ashern, Stonewall and Gimli Community Clinics. These workers are assisted in the hospital by Social Service Staff, and a co-ordinated nursing service. In- and out-of-hospital services and programs inc:lude: workshops and seminars on family therapy, milieu therapy, group PSycliQtherapy, reality therapy, individual intensive psychotherapy, behaviour and bio';eedback therapy, electro-convulsive therapy and drugs commonly used in psychi2tric treatment. Selkirk Services The programs and services provided in 1977 by the Selkir~' Mentall-iealth Team increased from 1976 level. In-hospital treatment provided for an average of 15-20 patients on a 24 hour basis, with day and night care also provided to an additional 3-5 patients per day. 300 patients on an out-patient basis were seen primarily by the team psychiatrist. Consultation and assessment services are provided to the Selkirk General Hospital, Selkirk Medical Centre and Health and Social Development Office (Selkirk) by the members of the various professicnals on the team. Northern Services The past year saw a further reduction in itinerant services to Norman Region, with a concomitant increase in services based in the North. A reallocation of Selkirk Mental Health Centre resources has enabled us to increase the amount of itinerant service provided by qualified psychiatrists in the Thompson Region. The demand for services, both of the resident mental health workers, and of the itinerant team from Selk:,'k, continues to increase. The increasing availability of mental health services in the Norman and Thompson Regions has enabled many more people to receive early, effective treatment close to home. It has also, however, led to the most intensive and specialized services of the Selkirk Mental Health Centre. Eastman Services Residents of the Eastman area requiring in-patient psychiatric services are served by the Selkirk Mental Health Centre. This in-patient psychiatric facility provides a full spectrum of psychiatric services. 44 J The Selkirk Mental health Centre is providing outreach community mental health services to the Northern portion of the Eastman Region. Hospital based community psychiatric workers provide out-patient psychiatric services in the form of assessments, direct patient treatment, consultation, family counselling, etc., in collaboration with the hospital based inter-disciplinary Eastman team. The Selkirk Mental Health Centre and the Beausejour Regional Office have worked together to provide as uniform a system of psychiatric service delivery as possible,
Eden Mental Health Centre Eden Mental Health Centre was founded on July 25, 1964, by seven Mennonite conferences and churches of Manitoba, On February 15, 1965, a memorandum of agreement was signed with the Provincial Department of Health. The Centre was officially opened on June 3, 1967 as a 50 bed active treatment centre. The basic objective was to provide services for the community's total mental health needs by providing care and treatment for both in-patients and out-patients. A number of changes occurred in the in-patient program. The occupational therapy unit was relocated to the main floor to better accommodate patient needs. Group therapy sessions were increased from two sessions a week to five sessions a week. Two additional licensed practical nurses were hired to enable other graduate nursing staff to spend more time with patients in group and individual therapy. Recreational activities such as volleyball, shuffle board, pool, tabletennis, bowling and swimming were increased. Volunteers continued to playa vital role in these activities, as well as in monthly birthday parties, game nights, shopping trips and outings to community fUnctions. In reviewing our services to alcoholic patients, it was determined that because of s!"flall numbers a separate alcoholic treatment unit was not feasible. In an effort to ensure that these patients receive the best possible care and treatment, an agreement was reached with the local AA group whereby they would provide for the alcoholic patients' individual and group support and treatment in the Centre as well as away from the Centre.
Community Mental Health Services An important feature of a successful mental health system involves both the early treatment of mental disorders and successful community re-entry of former hospital patients. In both cases individuals are able to rejoin society and lead more productive lives than would have been possible before intervention. This seemingly straightforward goal of community re-rentry and assimilation is a difficult task and calls for a variety of resources at a community level In order to deal with the great variety of disability levels of sendee recipients. The keystone of the community system is the mental health worker who is trained to accomplish both early effective intervention as well as facilitating patient community re-assimilation.
Community Mental Health Workers Currently some 70 mental health workers live in the communities they serVl3 and they are incorporated with the Department's other field service teams. Community mental health workers are trained in psychiatric nursing, psy chology, or social work. Each worker has access to a su pervisor who is an experienced clinician and who has specific responsibility to monitor and facilitate service by the workers. Central Region Eleven community mental health staff are responsible for the provision of mental health services to the region. Consultation and supervisory services are provided to Seven Regions Health Centre.
45 Workshops in Assertive Training and other treatment modalities have been held during the past year. There has been a continuing emphasis on the development of channels of communication with other departmental personnel, local doctors, clergy .men, schools and Eden Mental Health Centre. Eastman Region Eastman community based mental health has a staff of ten including two part ·time psychiatrists, five psychiatric nurses, two social workers and one psychologist. Community mental health staff provide service to people at their homes or at our local offices. Consultation is provided, but the focus is on care of acute and on continuing serious mental health problems. Much of this work is done in close consultation with community physicians. Adult foster care in local communities and rural areas is also part of the work with local communities. Interlake Region Community based services in this region are currently being implemented with 'four workers and a regional co-ordinator presently forming the staff complement. Psychiatric consultation is provided by Selkirk Mental Health Centre with is also I'esponsible for provision of service to Selkirk. Norman Region 1 Two community mental health workers provide services to Flin Flon and The Pas. Parklands Region I Four mental health workers and a residential psychologist provide services to Parklands Region. Thompson Region A unit located In the City of Thompson consisting of three community mental health workers and one acting Regional Co-ordinator provides assessment, treatment, management of after-care patients, consultation and education to the region. Itinerant services are provided on a monthly basis to the Communities of Lynn Lake, Gillam and Wabowden. A travelling team from Selkirk Mental Health Centre consisting of a psychiatrist, psychologist and social worker provides back-up services to the local workers on a monthly basis. Hospitalizations from this region are usually directed to the Selkirk Mental Health Centre and phone consultation is provided on a regular 'basis. Westman Region Currently nine staff provide community mE!ntal health services to the region in conjunction with Brandon Mental Health Centre. The large "residual" population (as is the case with Winnipeg) requires that a considerable amount of after-care be done by workers in addition to routine mental health workers duties of assessment, con sUltation and treatm&nt of acute case situations.
Winnipeg Region The program has 17 field staff (social worl{ers and psychiatric nurses) whose services are supported by psychiatrists, psychologists and other program personnel and aids. Services have been focussed primarily on individuals who were formerly hospitalized and are in danger of rehospitalization, e.g. drug management, behaviour change, social and vocational rehabilitation, etc. During the past year, however, there has been a substantial shift in services to those individuals who have not been hospitalized, but who are at risk of requiring such treatment. The program has serviced approximately one thousand clients during the past year. The criteria for service are that serious psychiatric distrubance is evident and other appropriate community services are not available or accessible. Most of the services require home visits and contacts with the client's support systems.
46 Community Residences Community residences are planned for persons who do not require hospital care, in either a general hospital or mental hospital, but who are not yet capable of total independent living. The residence is seen as an intensive program experience that will serve as a stepping stone from the very intensive treatment experience of a hospital to independent living situations, and as such will be concerned with both the teaching of every day living skills and, of course, provision of psychotherapy such that a sense of autonomy in each individual is increased.
Community Mental Healtn Services for Children The basic objectives are to provide both direct and indirect services to severely emotionally disturbed children, as close to the primary social unit as feasible, utilizing the community resources as available and appropriate. Also, attempts are being made to employ preventive principles where these exist, within the community setting. The program has two major components. The first component of the overall program is that concerned with the provision of mental health services to the children in the Norman, Interlake, Eastman and Central Regions. The second component of the overall progr"m is that of the child psychiatric support service being provided at the Ch{ld Guidance Clinic. The program remained essentially unchangei) in 1977. This program, being a support service, is :.,volved in liaison with many other programs both internal and ext\3rnal to the Government.
Mental Retardation Programs The population of Mentally Retarded people in Canada is undergoing changes consequent upon a number of factors which tend, over time, to reduce the numbers of moderately, severely, and profoundly retarded people born, but to increase the numbers actually in the population at the present time. If U.e number of mentally retarded people born were to remain at five per thousand, in the moderate, severe, and profound ranges of intellectual dysfunction, the reduced birthrate over the past fifteen years or so would eventually reduce the number of retarded individuals we would be called upon to provide for; however, the dramatically raised life expectancy of these groups in the population will totally offset this effect at least for the next twenty-five years. The /ife expectancy figures at the level of severe mental retardation alone, over the years from 1950 to '1980 are significant: 1950 - 15 years 1960 - 25)12 years 1970 - 361f2 years 1980 - 45 years (pr(Jiected estimate) The population characteristics are not significantly different from the general population, but the age of need for services is, of course, much edrlier.
The entire population of moderately, severely, and profoundly retarded people {an estimated 5,000 people in Manitoba}, requires personal care and life skills training in some residential living option commencing between the ages of one year and forty years, depending on the level of retardation experienoed, and the willingness and capability of the family to meet their need for supervised living. Manitoba has been in the forefront in developing appwpriate training programs and residential options for such handicapped individuals, but the increasing longevity of these groups in the population will tax our resources as a society at least until the slowly descending ourve of incidence crosses the rising life e):pectancy curve - a situation which will not occur until the end of the century.
47 The year 1977 has seGn a steady consolidation of mental retardation services delivered on a Regional basis through the Regional Offices of Health and Social Development and backed up by Provincial Program staff. A total of fifty-two staff provides these regionalized services, in classifications ranging from Community Service Worker to Physiotherapist, and from Behavioral Counsellor to clerical support. Deployment is made on the basis of one Community Service Worker for each 20,000 of the population, giving a potential case-load of 200 to each worker, from which the actual case-load of around fifty is derived. In Winnipeg, however, case-loads are much higher, while case-loads in scattered areas of population are necessarily lower because of increased travel demands. Backing up the fifty-two field staff, is a total of thirteen Provincial Support Staff, grouped to provide service on a multi-regional or province-wide basis. These staff members are qualified in specific disciplines and they provide the program support, evaluation services, and individual and program consultation services needed by the field staff on a twenty-four hour a day basis. They are also responsible for the majority of staff development activities of the Mental Retardation Program Directorate. Some of this group "re on the staff of The Manitoba School for Retardates, and thus provide a valuable link between field services and the services provided by the Mental Retardation Centre at Portage la Prairie. On April 21, 1977, a fire set by a retarded resident of The School, took the lives of eight severely retarded residents of the Eastgrove Unit. This tragic event prompted the Department, and Government to examine matters related to fire safety. The Research Program continues to be productive of original methodological guidelines, and has been contributing to the literature on the training of severely and profoundly retarded individuals. A new thrust has been developed in the area of workshop training, an aspect of programming which has hitherto been inaccessible to the severely and profoundly retarded. The School has been fortunate in obtaining a number of contracts for workshop production projects, which have assisted materially in providing incentive for our trainees, and at the same time providing areas of research study for our Behavioral Psychology Department. St. Amant Centre has continued to provide encouraging evidence of skill develop,l1ent. It provides care and training services for not only the two hundred and twenty-five children in its care, but also for the growing group of adults who are benefitting from its services.
The Pelican Lake Training Centre in 1977 has seen a year during which the program of consolidating the plant there has been continued, resulting In a need tor fewer maintenance staff. The Centre itself provides care for seventy residents, and already twelve have been prepared for community re-entry. A Staff Training Program has been developed at the Centre, in cooperation with the staff from the Manitoba School at Portage.
Private Agency Support Amongst the number of private agencies who contribute to services for the me(,lally retarded group in our population, C.A.M.R. (Manitoba Division), and its twenty-seven local branches provides the major agency contribution. Other private non-profit boards contribute to the provision of specific services, and the assistance of such groups is important to the maintenance of services to mentally retarded people throughout the province. C.A.M.R.'s branches presently operate the majority of the twenty-four residences which are operating, or have been approved up until the end of 1977, C.A.M.R. branches also operate the majority of our seventeen workshops. In addition to the actual proviSion of services, C.A.M.R. is organized on a Regional basis which mirrors the regional boundaries of the Department of Health and Social Development. In each of the Regions of the Province the partnership between C.A.M.R. and Government is evident in the form of Regional Mental Retardation Liaison Committees. Recently, C.A.M.R. and the Department of Health and Social Development have cooperated in the development of staff training for the staff of both residences and workshops, in addition to the program of staff development conducted by the Department for its own staff.
48 New Developments The Com-Span Day Centre and the Steinbach Day Centre are now in their fourth year of operation, while, for the first time in 1977, we have been able to move into the provision of residential services to children, and sev~rely mentally retarded adults. The D.A.S.C.H. residence is a pilot project presently under construction on Shaftsbury Avenue in Winnipeg. It is possible that the results of observations made in such new facilities may alter the future pattern of service delivery, particularly when the demands of fiscal restraint require to be met in our planning processes. Rehabilitation Services for The Disabled This program serves the physically and mentally disabled of the province by making available appropriate rehabilitation services designed to reduce or remove the disadvantages experienced by disabled persons. This assists them to avoid or minimize dependence upon the public or relatives and, as far as possible, enables them to share the same opportunities and accept the same responsibilities as other members of the community. The program includes the various services and processes of counselling, assessment, restoration, training, specialized employment placement and follow-up. The program aims to meet program objectives with a comprehensive system of services which involves the coordination of private and public programs and agencies, the establishment of standards, the development of staff programs and resources and the maintenance of a central registry of disabled persons requiring services. Rehabilitation Counsellors work from the regional offices of the Department to deliver the services of the program for all disabled persons with prime responsibility, however, for those who are mentally retarded and mentally ill. Designated private agencies, i.e. the Society for Crippled Children and Adults and the Canadian National Institute for the Blind, focus on the needs of the physically handicapped. The Alcoholism Foundation of Manitoba and the Salvation Army Harbour. Light Centre provide the program to the alcoholic. The year has seen the development and implementation of an !n-service staff training program for Rehabilitation Counsellors and workshop personnel. The Rehabilitation Counsellor course has 37 staff-18 department and 19 agency register ed and the workshop course has 111 staff registered. Both training courses will be completed during 1978. Although many types of training facilities are used in the rehabilitation process, the specialized facilities of workshops are used for evaluation and training, sheltered employment and occupational activity programs. There are now 24 of these workshops operated by private, non-profit boards and they served approximately 1,550 disabled adults in the year. The program continues to assist in the planning and development of new services and facilities. In order to assist disabled clients to live independently in the community, special evening and week-end courses have been organized, for example-Basic Literacy, Homemakers Course, Sewing Course, and Human Growth and Development. Work assistance programs in industry have been developed with community agencies and facilities in cooperation with Youth Secretariat grants. The provision of many rehabilitation services for the disabled depends on the support of volunteers. Their contribution in many recreational programs in addition to other services on a one to one basis assists the Rehabilitation Counsellor in meeting the individual needs of the clients. A total of 20,659 persons received rehabilitation services from the staff of the Regional Offices and designated agencies in the past year. Of this total, the Regional Offices handled 2196 cases during 1977, with a casecount of 1546 at the end of December.
49 ------
The provision of many rehabilitation services for the disabled depends on the support of volunteers. Their contribution in many recreational programs in addition to other services on a one to one basis assists the Rehabilitation Counsellor in meeting the individual needs of the clients. A total of 20,659 persons received rehabilitation services from the staff of the Regional Offices and designated agencies in the past year. Of this total, the Regional Offices handled 2196 cases during 1977, with a casecount of 1546 at the end of December.
50 I-
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MINISTRY OF C()RRECTIVE AND REHABILITATIVE SERVICES
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51 ~ .... . Ministry of Corrective and Rehabilitative Services 1. THE MINISTRv Signs of the Times 1 An examination of Corrective and Rehabilitative Services statistics indicates, l in general, a rise in numbers of offenders sentenced to Provincial correctional insti I tutions in Manitoba under criminal anr.: jllvenile law ovel( recent years. These figures serve to underscore the concern of the justice system as a whole, and the Ministry in particular, for crime rates and signs of juvenile disturbance which appear to offer no sign of abatement. Society generally shares this concern. It is in the face of these grave considerations that this report presents the Ministry's role and functions for the year 1977.
The Ministry's Role Corrective and Rehabilitative Services is one component of the justice system which is designed to deal with people charged with criminal offences. Over many generations Criminal Justice has evolved into a complex process which utilizes the contributions of police, courts, lawyers, probation officers, therapists, guards, ad ministrators and a number of other occupations and professions. The Ministry of Corrective and Rehabilitative Services is called upon to provide service after police and court functions have concluded. The Ministry carries out the responsibilities established by the court through detention. incarceration, probation and supervision of people involved in the justice system. These services are provided in a manner to preserve the dignity of offenders, and to effect whereever possible an improvement in behaviour. Because society needs protection from dangerous, violent, and destructive offenders under r-entence of the courts, escape-proof detention or incarceration is required. This obligation poses a heavy burden of judgement upon those who must decide when to ease restraints on prisoners who are making good progress. The Ministry also has a responsibility to communities as they assist in the ventual re establishment of the ex-offender as a productive member of society. Community corrections then, is a concept of shared responsibility between Ministry personnel and the people of towns and cities across the province where offenders will one day return. The final area of Ministry contribution lies in the field of prevention. The prevention of deliquency and crime is an area of compelling interest to both professionals and general public. The Ministry is less involved in primary preventive services, except in consultative ways. But prevention of recidivism, prevention of further deterioration and prevention of destructive consequences of criminal be haviour are matters of high relevance to Ministry personnel.
Legislation Under the British North America Act, adult offenders sentenced to terms of incarceration over two years serve their sentences in federal penitentiaries. Those receiving sentences under two years come under the jurisdiction of provincial corrections.
The Juvenile Oeliquents Act is a federal statute designed to deal with criminal behaviour of children. This act permits provincial authorities to take full responsibility for the young offender once the court has passed sentence.
2. DIRECT SERVICES Supervision and Custody Law enforcement and the administration of justice of necessity at times imposes restrictions on individual freedom. Such restrictions are permitted under only the most careful legal safequards which ensure that abuse of personal and hUran rights does not occur. The intrusion of society into the life of an individual thrvJgh the justice system may be as limited as a court appearance and reprimand. It may extend to
52 the imposition of fines or restitution. It also may impose a supervis'ory regulation of a person's activities during a period of probation. These methods are considered the least stringent interventions, because the offender is free to function in a relatively normal manner.
Restriction of personal freedom in instances of serious crime, violence or risk of escape necessitates physical detention. Both before and after court appearances provision must be made to hold prisoners securely. FacHities for such detention vary from short- to long-term and from minimum to maximum security. Jails or lock-ups provide temporary accommodation following police arrest and pending court appearance, and are available throughout the province at all hours of day or night. Most institutions provide some lock-up service when required. Most lock ups provide ,oom for an overnight stay with subsequent release. An additional form of temporary custody is known as remand. Here, under the authority of the court, an alleged offender may be held during the postponment of hearings. In most cases the accused is free to live at home and to go about his normal business. Bail mayor may not be utilized, at the court's discretion. Those W~)Q must be held in secure custody between hearings necessitates a longer form of temporary accommodation in remand.
Correctional institutions are facilities used for carrying out sentences requiring incarceration. Institutions in Manitoba are located in or near major regional centres. Becau~:e sentences vary in duration, the type of institution reflects the category of inmate. Maximum sentences are most frequently served in Headingley, and where risk of Elscape or violence is high, even short-term sentences may be completed in that institution. Less serious offences often result in sentences carried out in regional facilities nearer the inm RI'lmand Services On March 18, 1975, the Winnipeg Police Department recommended that the operation of the Public Safety Building Jail be transferred from the City of Winnipeg to the Province of Manitoba. The Jail was being used as a detention facility for people on remand and for detainees under the Intoxicated Persons Detention Act. . After negotiations were completed, the Province took over operation of the Winnipeg Remand Centre on October 1, 1977, and staffed the facility with Correctional Officers transferred from Headingley Correctional Institution and from the Adult Detention Centre, along with some new personnel. Certain renovations were started shortly after the takemar, and it is anticipated that they will be completed in early 1978. Medical services have been upgraded by the addition of nursing staff v!ho are on duty seven days a week and who, in addition, provide on~call coverage. Since the takeover of the Remand Centre, the Adult Detention Centre \.'\0 Vaughan Street is operated on weekdays to hold prisoners appearing in Court in the Law Courts Building, and is staffed by five members of the Remand Centre staff. In some cases, once a trial date has been set, a prisoner may be transferred to Headingley Correctional Institution to be held on remand. Adult Corrections Directorate Adult Corrections in Manitoba provides care, custody and treatm~nt for people committed to provincial correctional institutions. The directorate is charged with the following responsibilities: 1. Restricting the liberty of individual inmates. 2. Maintaining humane living conditions. 3. Providing opportunities for reform and rehabilitation. 4. Establishing treatment methods to meet individual needs. 53 :n dealing with adult offenders there is a need to be realistic and practical. These are not impressionable. readily influenced people for whom social responsibility comes easily. But it is often possible to reduce the measure of conflict with society which has become for many a way of life. Adult Corrections attempts to encourage self-respect and a productive role in society. Increased emphasis on community 1 based planning for corrections programs is reflected in services which relate to actual community conditions that the offender will encounter on release. 1 Headingley Correctional Institution 1 Headingley Correctional Institution. Manitoba's largest provincial jaiJ, serves adult males who have either been sentenced or remanded by the courts. Programs are designed and operated to provide care and maintenance of prisoners in a secure setting, while at the same time assisting in their social, emotional and intellectual re-integration into community life. Upon admission, each newly sentenced prisoner is interviewed by a Classifi cation Officer, phl/sician and/or nurse. He is assigned a living location, a case worker and a specific work or training program. Interviews, medical reports, counsellor observations, forensic and pre-sentence report assessments all form the basis for program selection. If required, psychiatric or social counselling is made available. A Counselling Section is responsible for aiding in treatment and re-socialization, utilizing contemporary treatment models appropriate to needs of the individual. In addition, an emphasis is placed on recreational programs, including co~munity involvement and a range of both sporting and social events. Education is important in rehabilitation. In the past year at Headingley, edu cational programs have been expanded. An additional teacher has been added to staff to provic'e more formal and informal educational components. Headingley utilizes the services of fuJI-time psychiatric nurses, an institutional physiCian, psychiatrist, dentist, full-time psychologist, counsellors, cha;Jlains and trained correctional officer~ A Parole/Probation liaison Officer is also on staff, and additional assistance is supplied by escorting officers. The Institution attempts to provide inmates with programs which form the basis for rehabilitation plans. These programs require indentification of community re-entry needs, individual aptitudes and available resources. Such programs provide a link between the institution and the community by involving community agencies. For example, one annex accommodates first and infrequent offenders and provides a community re-entry program; a Pre-release Assistance Program is offered to some inmates in the last forty days of their sentences, incorporating the facilities of com munity resources, and the Community Release Centre, through temporary leaves of absence; and the Community Release Centre offers thb inmate an opportunity for a controlled and graduated release working in the community during the day and returning to the centre for evenings and weekends. The Centre has experienced Iittfe reluctance on the part of firms to hire the Centre's inmates, and the type and quality of the positions offered has resulted in some ex-offenders retaining the jobs secured for them after their discharge. The Community Release Centre is making increased use of private agencies for Day Parole and Temporary Absence in keeping with a community-based corrections policy. Included in this public-private partnership in rehabilitation using specific contracts and fee-for-service are such agencies as; -John Howard and Elizabeth Fry Society -United Church Halfway Houses -Grosvenor House -Native Clan -X-Kalay -Scotia House Among the community-based counselling resources utilized by both Headingley and the Community Release Centre are the Alcoholism Foundation of Manitoba treat- 54 ment houses, the Alcoholic Treatment Unit at the Health Sciences Centre and the Alcare Treatment Cent .. _ at St. Rose du Lac. The National Parole Service provides a Parole Officer for counselling on a weekly basis, as does the Native Clan Organization for native inmates of the Centre. Also, a graduate psychology student from the University of Manitoba has provided weekly counselling ,services. Brandon Correctional InstitUtion Brandon Correctional Institution is the second largest adult correctional facility in Manitoba. It accommodates persons who have been detained under the Intoxicated Persons Detention Act or who have been sentenced or remanded by the Courts. Brandon Correctional Institution offers a variety of inmate programs which attempt to provide assistance to the offender in learning to live in an acceptable manner within society. Medical services are available, and individual counselling is provided by staff members. Day passes, Day Parole and Temporary Absence certificates are also available to inmates. Local agencies such as Canada Manpower, Assiniboine Community College, Alcoholics Anonymous, and the John Howard and Elizabeth Fry Society, provide social services which help to maintain contact between the inmate and the community. Agency information services, university-sponsored tutorial programs and counselling services are also available. Classification processes assist inmates in establishing personal goals and locating community resources appropriate to their needs. The Brandon Institution is one of several making use of the new Frontier College resource. Courses are given in Ufe Skills, a form of communication and human relations training. Frontier has helped expand the correctional Volunteer Program by providing tutoring services and a number of farm work placements. Private citizens are encouraged to participate in the correctional process through the Citizen Escort Program which enables Brandon citizens to take inmates into their homes, to Alcoholics Anonymous meetings, sporting events and other activities. Portage Correctional Centre for Women The Portage Correctional Centre for Women, located fifty miles west of Winnipeg in the city of Portage la Prairie, accommodates sentenced female offenders and females detained under the Intoxicated Persons Detention Act. Correctional program ming is designed '0 foster inmate understanding of the factors which have led to their incarceration. The Centre assists offenders in solving their problems so that they may live in an acceptable manner upon release. Counselling services are provided by staff members. Educational programs include correspondence courses, adult education programs and basic literacy courses. Other programs available to inmates include personal care and grooming, food planning and preparation, housekeeping, and arts and crafts. A small library is maintained in the Centre which is supplemented by reading material available in the Portage la Prairie Library. Recreational resources are provided and social actiVities are arranged. A medical doctor visits the Centre on a weekly basis and a registered nurse is in attendance three days a week. Denta,1 and optical services are also available to inmates. In the Portage Centre the involvement of private agencies and the community is encouraged. The Institution dOf)S not have a residenti",! chaplain, but utilizes the services of clergy in the commurdty. Inmates are permitted to see a minister of their own denomination on reqL'est. Extensive use is made of outside agencies such as the John Howard and Elizabeth Fry Society an? Alcoholics Anonymous. Alcoholics Anonymous operate commu";;ty meetings which have allowed inmates with alcohol problems to make outside contacts. The Pre-Release Centre at Vaughan Street in Winnipeg also assists to released inmates Wh0 are alone in the city with no friends or relatives In the area. 55 Dauphin Correctional Institution The Dauphin Correctional Institution accommodates adults sentenced or remanded by the courts or held under the Intoxicated Persons Detention Act. Correctional programming is community-oriented, and newly sentenced inmates are provided with a work program upon admission to the Institution appropriate to individual aptitude. Frontier College has provided a driver training program not previously available in the Dauphin area. The treatment program includes an opportunity for Day Parole and Temporary Absence for further education or training. All staff at the Dauphin Correctional Instituti·?n act as treatment co-ordinators and each staff member has a caseload of inmates with whom he attempts to establish a relationship and provide informal counselling. The Classification Officers provide counselling services of a more formal nature. There are no formal educational opportunities available within the Institution. Instead, community (~ducational facilities, upgrading classes sponsored by Canada Manpower, and evening classes in various technological courses at the Dauphin Regional Comprehensive Secondary School are used. Indoor and outdoor recreational activities are available. An institutional Alcoholics Anonymous group has been established, and inmates are permitted to attend community-based Alcoholics Anonymous meetings. A local physician provides regular weekly visits to the Institution. Dental and optical requirements are handled locally by appointment. Psychiatric services are also available if required. Specific individual or family needs are met by referring inmates to the appropriate community social services agencies. Inmates are assisted in pre-release planning through programs which locate employment and living accommodations, and provide transportation to home communities. The Pas Correctional Institution The Pas Correctional Institution, located in the Northern Judicial District, accommodates persons arrested and awaiting trial, persons sentenced or remanded by the court, and those detained under the Intoxicated Persons Detention Act. Community input is fairly extensive. Courses offered by Keewatin Community College are available to inmates wishing to further their education. The Pas Correctional Institution is served by a Canada Manpower Counsellor who visits to the Institution on a bi-weekly basis. The Indian and Metis Friendship Centre sends counselling representatives to the institution to provide pre-release and post-release assistance to native inmates. A weekly program has also been established at the Alcoholism Foundation of Manitoba's Detoxification Centre to provide alcohol and drug counselling an'd education. Staff at The Pas Correctional Institution Include Correctional Officers employed at both the Egg Lake Rehabilitation Camp and the main facility. Chaplains of all religious denominations attend the institution. The services of two medical doctors are provided at the institution, and dental care is aVCii:able in the town of The Pas, Community involvement also includes access to local social service and Canada Manpower programs. The experience of actively participating in the maintenance of park or recreation area work projects and highway right-of-way helps to establish a sense of responsibility for the offender. Rehabilitation Camps Three correctional Rehabilitation Camps are located in Manitoba provincial parks as satellite facilities to correctional institutions. The camps provide work ex perience activities for minimum security offenders in co-operation with the Parks Branch of the Departm<~nt of Tourism, Recreation and Cultural Affairs. 56 The Bannock Point Rehabilitation Camp is a satellite facility of the Headingley Correctional Institution, located 100 miles northeast of Winnipeg in the Whiteshell Provincial Park. The Egg Lake Rehabilitation Camp serves The Pas Correctional Institution and is situated north of the town of The Pas. The Spruce Woods Rehabilitation Camp near Brandon was closed in 1976 and reopened in the spring of 1977. ,Camp programs are designed to assist offenders to accept the reasonable rules and regulations encountered on return to normal living and working situations, and to establish constructive work habits which can be applied upon release. Offenders participate in constructive programs of forestry. conservation and the maintenance of public recreational facilities, including tree planting and spraying, salvaging and clearing underbrush. Camp inmates are also available for fire-fighting duties. Counselling services are available to inmates on request. A wide range of recrea tional activities exist, including participation in sporting and social events involving local community members. The Ministry has negotiated a new service with Frontier College, a non-profit organization with a history of educational service in bush camps and other isolated communities. Frontier college staff persons are living at Bannock Point and Egg Lake Camps and providing educational programs during the evening and weekends. These persons wc:rk at regular labour during the day for other employers in order to support themselves. Juvenile Corrections Directorate Children in conflict with the law, like adults, encounter the sanctions of society and intervention which limits their rights and freedoms. But unlike adults, these juveniles are learning and growing. and lack the maturity and experience needed to assess the consequences of their actions. Minors found guilty of offences are normally dealt with in a system of family courts, juvenile probation services and segragated youth facilities operating under the Juvenile Deliquents Act. a modified application of criminal law orthe Provincial Child Welfare Act. These Acts are designed to deal with the special needs of children. Generally across Canada children under twelve years are not dealt with under deliquency charges. With a few rare exceptions, they are considered to be of tender years, more appropriately worked with under the protection provisions of Provincial law. Past the age of fourteen, children who commit criminal-type offences are con sidered delinquent and dealt with as corrections cases according to their age and maturity. Children aged 12-14 years represent a special category where t:!~cisions may go either way as to which process is required. The juvenile correctional system in Manitoba, then, provides programs and facilities for the institutional care, custody and treatment of boys and girls who are committed under the authority of the Juvenile Delinquents Act or the Child Welfare Act. The Juvenile Corrections Directorate follows a number of general principles intended to guide the entire system in its planning, implementation, ope~ation and· evaluation procedures. 1. Juvenile Corrections has a dual role: (a) to provide the custody or supervision needed by children whose de linquent acts are SUbstantially damaging to society or who are unable to \ function responsibly in a less structured setting. . (b) to assist in identifying causes of delinquent behaviour through co operation with justice and social service systems, and developing p~e ventive and diversionary programs for existing and potential young offenders. 57 ------ 2. Juvenile Corrections provides behaviour controls and corrective ar<1 re habilitative treatment. However, no more control than is necessary is used, nor is Juvenile Corrections a substitute for controls available from other sources. 3. Care provided by Juvenile Corrections encompasses children's physical and emotional needs. 4. Programs and services provided by Juvenile Corrections are designed as a broad spectrum of supervision and structure levels, flexible enough to meet the varied needs of individual children, and to assist young offenders to function in the open community by accepting responsibility appropriate to their capabilities and maturity. 5. Juvenile Corrections encourages family and community participation in the rehabilitation process, including the provision of opportunities for develop ment of problem-solving skills in a community-like environment. The Manitoba Youth Centre The Manitoba Youth Centre, located in Winnipeg, provides a pre-placement facility for male and female juveniles who require a period of institutional care and custody for their own or society's safety and protection. The Manitoba Youth Centre has a broad responsibility to the juvenile justice system. Detention at the Centre is usually the first stage in a youngster's contact with the correctional system. Co-operating with probation officers, child welfare workers and legal representatives, juvenile corrections staff try to deal with each child as an individual. In one case, he may be merely a temporary admission to the receiving area of the Youth Centre. In another he may be awaiting a court hearing. In yet a third case he may be committed to specified care and custody. Finally, he may be being intro duced to community life at home, school or in a group setting. The Centre consists of ten cottages with a capacity for 150 boys and girls Who are admitted for alleged delinquencies under the Juvenile Delinquents Act, or who are deemed unmanageable and beyond the control of other child care resources under the provisions of the Child Welfare Act. The cottage design permits appropriate group assignment, and encourages flexibility in program activities. Most juveniles in the Centre are placed in a short-term reception program for assessment, planning and preparation for return to their homes, foster homes, group homes, or long-term institutional treatment centres. Although the Manitoba Youth Centre is a closed custody institutior, the pro grams offered are based on a humane concern for the needs of the jUVf niles. The setting and atmosphere provide as normal· a social environment as possible, en couraging juveniles to develop a sense of personal responsibility and motivation. Short-term crisis counselling and individual and group counselling are part of the services provided. The juveniles themselves are encouraged to participate in the plannIng of their activities and individual programs. A personalized education program is provided at the Centre, focussing on con tinuing the educational process which the juvenile was involved in at home. The Youth Centre also provides basic academic assessment for all provincial juvenile correctional institutions. In addition, recreational, social and religious activities are available. Wherever appropriate, activities include both boys and girls. Because the Manitoba Youth Centre serves young people who are in crisis, staff member) represent a variety of skills, ages, personalities and training backgrounds to deal with the needs and problems of yough people in conflict with the law. Cottage counsellors and night supervisors provide direct care, custody and treatment; cottage supervisors, nurses, craft instructors, teachers and administrative support personnel complete the Centre's staff complement. Case consultation is provided by psy chologists and psychiatrists. 58 ------ Wherever possible institutional services are integrated with local community resources; similarly, community volunteers are encouraged to become involved. Highlights of the past year include: 1. Forensic Services-A psychiatrist or psychologist is available to each cottage, assigned to provide consultative services for juveniles, crisis counsel ling training for staff, and to provide immediate attention to juveniles in emergency situations. This service allows for the constant monitoring of juveniles to anticipate and prevent crisis at the Centre. 2. Monitoring Progress and Population -A bi-weekly reporting system has been instituted whereby cottage supervisors submit reports on Child Welfare Act juveniles to Regional Directors outlining the date of admission, reason for detention, program plans for each juvenile and any problems encountered. In addition, the total population of the Youth Centre including those under . '')th the Juvenile Delinquents Act and the Child Welfare Act is reviewed with Probation Services staff regularly in order to divert any juveniles not requiring detention. 3. Reorganization -Following an intensive management audit, the organiza tional structure of the Manitoba Youth Centre has been revamped to stream line the management of the Centre by more clearly delineating staff functions and responsibilities, improving communication lines between management levels, and improving utilization of available resources. 4. Staff Roles and Functions-Staff members of each cottage at the Youth Centre have completed planning proposals outlining the goals of programs provided to juveniles, clarifying staff roles and functions, and presenting strategies for better program. These plans, reviewed in consultation with senior management prior to implementation, are intended to streamline day to-day operations and provide more effective programming. Longer Term Institutional Care Young people who have come before the courts for repeated and serious offences pose a problem to judges, workers and society as a whole. A small, fourteen year-old car thief and joy rider may be followed in the docket by a suicidal, drug-ridden girl of sixteen and then a six foot, seventeen-year-old young man whose pattern includes assault with a deadly weapon. Yet these are all, under the law, children. The extremely violent, the murderer and the near-adult may be transferred to adult court. Wherever possible the more minor offences and the cases of the very young are dealt with in a less restrictive manner. This leaves a signiflcant number of young people in the 13-17 age group whose actions require segregation from society. In Manitoba, rehabilitative emphasis has turned to psychological treatment, education, group therapy and social counselling. Of particular interest in this province has been the continued use of a group therapy program called "Positive Peer Culture". Through the use of peer pressures, young people have emerged from the correctional process with a better understanding of their own needs, the needs of others and the require ments of community. They have also acquireci some skilt in articulating their own feelings and frustrations. Many such youthful offenders have gone on to enter the work force successfully. The Agassiz Centre for Youth The Agassiz Centre for Youth, located in Portage la Prairie, provides care and treatment for male juveniles between the ages thirteen and seventeen who require a period of restraint from normal community contact because of delinquent behaviour. The Positive Peer Culture treatment program at the Centre includes basic group therapy techniques intended to develop pro-social values and attitudes. Externally imposed rules and restrictions are kept to a minimum. Juveniles are expected to take responsibility for other group members, and to implement necessary controls themselves. 59 All juveniles attend the Centre's school program, which operates as an integrated treatment/education approach. Each group has its own teacher. The group, therefore, monitors itself while instruction is taking place. Each juvenile is expected to move into a pre-discharge program at least two weeks before he returns to the community. This is designed as a period of transition for the juvenile from dependence on the group to dependence on himself and upon whatever community resources are available. While in the pre-discharge program, the juvenile faces some of the same situations he will encounter after returning to the community. At the same time he continues to have the opportunity for problem-solving within the group. A juvenile's discharge from the Centre begins with the recommendation of his group and approval by cottage staff. Provision of a community placement is made by his community agent. The Superintendent, by giving his approval may proceed with the juvenile's release. Official discharge follows on the authorization of the Director of Child Welfare. In 1977, the treatment program was extended to a seven days per week operation. Cottage staff teams are now encouraged to assume responsibility for treatment effectiveness as a unit, rather than as individuals. This approach is compatible with the philosophy of the Positive Peer Culture program to promQte group morale and motivation. A new vocational/work release program has also been planned for Centre residents. In conjunction with Canada Manpower and Red River Community College, the Centre will enable juveniles to participate in vocational training and work experiences preparatory to release. The Seven Oaks Centre For Youth The Seven Oaks Centre for Youth provides a treatment and rehabilitative program for juveniles who require a period of institutional care and custody. Programs are based on concern for the needs of all juveniles, and provide appropriate range of services to meet those needs. The Centre attempts to change delinquent attitudes, values and behaviour by providing the opportunity for continuing development of emotional, intellectual, physical and social growth within a safe environment leading to successful community reintegration. The Centre receives both boys and girls aged twelve to seventeen who are admitted by the Director of Child Welfare, or who are committed by a Judge of the Family Court. Juveniles ~re carefully assigned to groups in which members assist each other in dealing with the problems which resulted in committal. All activities involve group participation. Daily meetings are held, with juveniles identifying the problems they have encountered during the day. The group member who needs the most help is given the opportunity to work on his problems with the group. When ajuvenile reaches the point where the group and staff feel he can function effectively in the community, a recommendation for discharge is made to the Director of Child Welfare. The Centre's education program is based on the concept of individual in struction, utilizing current educational skill development programs. The program provides for basic education, improving work habits, exploring career opportunities, outdoor education, safety, hygiene and a variety of electives. A number of recreational and athletic activities are available. Pareil!s, family members and community workers ure encouraged to maintain regular contact with juveniles. The Seven Oaks Centre for Youth also makes use of city, provincial and volunteer resources, and promotes community involvement in rehabilitating young offenders. Previously rotating staff responsibilities have been replaced by permanent group assignments. A family life education program is planned to include parenting, budget ing, human relations and other subje[~ts. A staff member has been hired to co-ordinate physical education and recreation at::tivities. A hockey rink is under construction. 60 Community Re-Entry The Winnipeg Group Home provides a community re-entry program to assist former youthful offenders during the transition period from institutionalization and treatment to community living. The services offered include a day time drop-in centre as well as a twenty-four hour crisis intervention program. Although the facility functions primarily as a day-time service, it has the capacity to house juveniles overnight in crisis situations. This Centre allows the child to fall back on a supportive staff person before pressures in the home or community reach a crisis situation. This approa0h has been used for nearly two years and has assisted juveniles with a record of delinquency in re-establishing a normal, socially acceptable role In his community. Chaplaincy Services A Provincial Chaplain is responsible for the co-ordination of a comprehensive dcumenical program of religious activities for the three institutions. Medical Services Juveniles receive medical attention in all three institutions. The Manitoba Youth Centre provides its own institutional medical services, while Agassiz Centre for Youth and Seven Oaks Centre for Youth use community based medical services, Probation Services Directorate Th\~ involvement of probation staff with juvenile and adult offenders may begin as early as the time of arrest and detention. Through periods of court appearance, assessmlmt, remand, sentencing and post-disposition, the Probation Officer is the principal liaison between the offender, the courts homes and community. The Probation Officer has the duties of counselling and assisting the offender and his family. Probation is a primary form of community-based corrections. It allows the offender to remain in his home community while receiving assistance in dealing with personal and social responsibilities. The support provided by probation personnel is designed to develop long-term socially acceptable attitudes and behaviour patterns which will have an effect long after court-ordered supervision has expired. ThE) probation service has encouraged local agencies and communities to expand their role in the rehabilitation process. Probation is responsible for placing offenders in community settings such as group homes, half-way houses and private foster homes under court authority. Probation officers have been instrumental in developing community justice committees where citizens may participate in court recommendations, terms of restitution, public edUcation, etc. Responsible local, citizens gitting on the community committee can often bring effective peer group pressure on offenders and parents. These committees work closely with Probation Officers, police, lawyers and the courts, anc; have shown promise as a force for crime prevention in their own communities. The recruitment of lay volunteers 11.) supplement s:Jpervision, job placement and educational planning represents another facet of community corrections. Probation Services are delivered by teams of workers, headed by a Senlol' Probation Officer. Rural teams are based in Beausejour, Selkirk, Portage la Prairie" Brandon, Dauphin, The Pas and Thompson with sub-offices in Minnedosa,IGillam, Ashern, Morden, Flin Flon and Swan River. Winnipeg has seven district teams and a central services unit. rr Officers are normally university graduates with specialized training in crimin ology, sociology, or social work. Probation Officers are responsible for assessment and treatment serVices, Court work and client supl3rvision. They are assisted by Probation Workers or aides who are mature persons whose life experience. gives them ability to assist with probation responsibilities. 61 ------ Efforts are made to use the services of community volunteers through the Compass and the Honourary or Volunteer Probation Officer programs. Volunteers can provide additional on-site supervision and support to the probationer which makes the V.P.O. a resource to the Probation Team. Adult Probatlon Three types of service for adult offenders are: 1. Pre-Sentence Reports-When requested by the court. a probation officer prepares reports on adults who have entered a guilty plea. or who have been convicted of a crime and remanded for sentence. These pre-sentence reports outline the personal and social history of the offender and assess his ability to function in a socially acceptable fashion in the community with appropriate support. control. and assistance. The pre-sentence report becomes part of the treatment plan for those placed on probation. or part of the classification assessment for those sentenced to a correctional institution. 2. Probation Supervision-The Courts may grant unsupervised probation to adults. In this case the Probation Service is not involved. However. Probation Officers and Probation Workers or volunteers do w':lrk with those placed on supervised probation. monitoring conditions and providing treatment mutually agreed to as part of the probation plan. When an adult is sentenced to a correctional institution with a period of supervised probation to follow. Probation Officers become involved in pre-release planning. rehC'.bilitation and post-release supervision. 3. Parole Services-At the request of the National Parole Service. Probation Officers perform community assessments on inmates applying for parole. The Federal Parole Service contracts with the Provincial Probation Services to provide parole supervision in areas where there is no parole officer or private post-release supervisory agency. This is also done where probation follows the sentence on which parole is granted. Probation Services may also refer probationers to other agencies such as Canada Manpower. the Alcoholism Foundation and Alcoholics Anonymous. In addition. Probation Services offers a Life Skills Course for selected individuals. Others may be allowed to reside at Grosvenor Place, a hostel privately operated for adult probationers in Winnipeg. Juvenile Probation Under the Manitoba Corrections Act. the Police refer all juvenile cases to the Probation Service for assessment. More than 10,000 referrals per year are directed to the Probation Service. 1. Intake Screening - If a juvenile meets established criteria. after intake interviews. he or she may be diverted from the justice system without formally appearing in Court. This is called "non~judicial" disposition. About one-third of juveniles referred are handled in this way. 2. Court' Services-Juveniles whose cases are brought to Court on the recom mendation of the Probation Service will be accompanied by a Probation Officer who provides the Court with a pre~disposition report. Following an admission or finding of delinquency. the Probation Officer may make recommendations on disposition to the judge on the basis of the pre-court investigation. 3. Probation Supervision - Approximately 12% of juveniles referred to the Pro bation Service are placed on probation by the Court. Probationers are uwally supervised In their own home. but may be placed in a private foster home. a l 62 I j group foster home privately operated for juvenile probationers, or be placed in one of the private treatment institutions for juveniles, such as Marymound School for Girls, Sir Hugh John MacDonald Hostel or Knowles School for Boys. 4. Juvenile Post~discharge SuperviSion -About one percent of delinquent juven~ iles referred to Probation Services are committed by the Courts each year to one of the provincial rehabilitation centres -Seven Oaks or Agassiz. Many juveniles are supervised by Probation Officers following discharge from the institution. Juvenile probation services make uSP ~f many resources provided by public and private child welfare agencies, school systems, and other appropriate services. In addition, Probation offers Life Skills, summer recreational programs, and volunteer programs to meet some of the special needs of juvenile probationers. Marriage Conciliation Service The Marriage Conciliation Service provides services closely related to the courts and family counselling. With a staff of director and ten counsellors, Marriage Concilia tion has provided both statutory and elective services for many years, primarily in the area of marriage breakdown and responsibility for children. 'fhis directorate, located in Winnipeg, counsels married couples and family members, resulting from court involvement in cases such as separation, divorce and child custody, or on personal referral as individuals seeking help. The purpose of counselling may be total reconciliation, reduction of hostility in separation or divorce, or post separation adjustment. In 1977, 3,708 individual and 574 joint interviews were conducted. Another function of this service is premarital counselling for juveniles. Underage couples may seek judicial permission to marry instead of parental permission, and in such cases counselling must occur. Marriage Conciliation prepares reports for the various courts in matters of child custody, guardianship and right of access. Staff are also involved in Enforcement of Maintenance Orders. They conduct Parent Effectiveness Training classes for inter~ ested groups and assist Home Economics workers in providing monthly home financial planning classes. 3. SUPPORT SERVICES Inspector General The Office of the Inspector General was created late in 1977. The Inspector General investigates audits and monitors many of the Ministry's institutional and program functions. Reporting to the Deputy Minister, the Inspector General has a small office staff and utilize,s system personnel as needed for specific tasks. The Inspector Gener:al carries out his function by: 1. Performing regular inspections and audits of the management administrative, security, operational, procedural and program components of Provincial adult and juvenile correctional and probation services systems based on standards developed by the Ministry in co~operation with Federal and other Provincial jurisdictions. 2. Investigating extraordinary situations, escapes and distrubances, reported irregularities, potential crises, emergency situations, and complaints from Ministry field staff, inmates and the public concerning system operations and procedures. 3. Representing the Ministry through participation in joint Federal/Provincial criminal and juvenile justice system planning, research, negotiation, monltorh and evaluation activities. 63 .~ 1 , Staff Training and Development Directorate , During 1977, the Staff Training and Development Directorate became a man power planning resource, with responsibility for recruitment, selection, classification, employee relations, performance appraisal, and negotiations with the Manitoba Government Employees Association. The Directorate initiated discussion with the Department of Continuing Educa tion and Manpower Education regarding the development of a Pre-Employment Program for Correctional Officers. This program was approved for implementation at Assiniboine Community College in January of 1978. During the year the Directc.c:(te took major responsibility for training programs in the following areas; (a) Juvenile Counsellor Basic Training (b) Correctional Officer Basic Training (c) Probation Officer Basic Training (d) Fire Safety Training (e) First Aid and Resuscitation Training (f) Family Therapy Training (g) Organizational Development Workshops Program Review and Development A Program Review and Development :Jirectorate was established in 1975, to undertake program planning, evaluative research, and program reviews. In 1977, the directorate's functions were assigned to the Deputy Minister's office and the operating directors. 4. OTHER MINISTRY RESPONSIBILITIES Community Agencies Residential Care The largest and most obvioUl3 involvement of private agencies lies in the area of residential care. There are three categories of residential care utilized in the Ministry-the private home, the group home and the institution. Private homes, usually referred to as foster homes, are utilized principally for youthful offenders, although occasionally an adult will be placed in a private house hold. The foster parent is a citizen who makes a contribution to the rehabilitative process by providing the offender with a home environment with normal family relationships. During 1977 the Ministry utilized some 20 foster homes for various periods, some with more than one client involved. Group homes are patterned either on normal family life, with live-in parents, or on group living with shift staff in attendance. The number of group homes in Manitoba have increased in the past five years, and an Office of Residential Care in the Department of Health and Social Development has been created for the overall 1 supervision and licensing of residences of a/l types. During 1977, approximately 200 youth and adult residents used group home accommodation in Winchester House, , Grosvenor Place and Norwood School Division Group Home. 1 In 1977 the Ministry utilized private institutional care for 70 individuals, in cluding intensive treatment and close supervision for probationers requiring education and psychiatric counselling. These institutions include Sir Hugh John MacDonald Memorial Hostel, Knowles School for Boys, Marymound Treatment Centre for Girls, Manitoba Community Treatment Centre; in some cases Lir:ldenview and X-Kalay are utilized. Halfway Homes When an offender moves back into community life after a term of imprisonment, there is a process of readjustment needed. Private agencies have many useful con nections in the areas of business, religion and culture which make them well suited to the Halfway Home program. 64 Persons under Ministry responsibility and released in 1977 utilized the three homes operated by the United Church, primarily through the 30-day Temporary Absence program. The Fedt.ral Government also utilized these homes through the National Parole Service. Counselling, Support and Liaison Private agencies also provide non-residential services for individual clients to assist in their re-entry into society. Contributions in the corrective and rehabilitative process also are made by the John Howard and Elizabeth Fry Society, Compass, the Mennonite Open Circle Society, the Native Clan Organization, the Salvation Army, ConVerse and the Young Mens' Christian Association. Court-Related Services In recent years in several provinces there has emerged a court-related resource role for private citizens. Most family court judges have utilized citizen assistance in individual cases, such as probation supervision and restitution. In Manitoba two community councils have been organized in the native settlements of Roseau and Moose Lake to assist the courts in dealing primarily with juvenile offenders. In Dauphin, a Restitution Committeee provides service for both Indian and non-Indian offenders. Alcoholism Foundation of Manitoba The Alcoholism Foundation of Manitoba is responsible for alcohol and drug abuse programn;ing in the province of Manitoba. The Alcoholism Foundation of Manitoba manages the funding of external agencies in the province, conducts research, prevention and education programs, and is responsible for ensuring quality programming and the provision of services according to areas of identified need. The Alcoholism Foundation of Manitoba publishes an Annual Report under separate cover. 65 I 1 DEPARTMENT OF HEALTH & SOC!AL DEVELOPMENT 1917 ANNUAL REPORT Statistical Appendix - 67 Department of Health & Social Dev~lopment 1977 Annual Report Statistical ApPE'ndix Table of Contents SECTION I-POPULATION OF MANITOBA Table 1 Map of Manitoba by Health & Social Development Regions Tabie 1 Population of Manitoba by Health & Socia! DC';"!;-;iJj'I}"lt Regions and by Age and Sex, June 1,1977. SECTION 2-VITAL STATISTICS Table 1 Live Births, Marriages, Deaths and Stillbirths With Rate Per 1,000 Popula tion - Manitoba -1977, 1976 and 1975. Table 2 Deaths in Manitoba by Age and Sex, 1977 and by Age for 1976 and 1975. Table 3 Certain Selucted Causes of Death with Rate per 1,000 Population- Manitoba-1977. Table 4/\ Death Rates Under One Year of Age in Manitoba: 1971-1977. Table 4B Infant Mortality by Region of Residence; Manitoba-1974-1976. Table 4C Live Births and Infant Mortality, Manitoba, 1968-1977. Table 5 Deaths of Children Under One Year of Age by Cause and Age - Manitoba- 1977. Table 6 Deaths from Tuberculosis by Age and Type-Manitoba-1977. Table 7 Deaths and Death Rates Due to Accidents-~otor Vehicle and Other Manitoba-1975-1977. SECTION 3-S0CIAL SECURITY SECTION 3A-INCOME SECURITY Table 1 Provincial Financial Assistance Caseload By Category at December 31, 1974 to 1977. Table 2 Provincial Financial Assistance Caseload by Regional Office and Category of Assistance, December 31,1977. Table 3 Social Allowance Health Service'>: Expenditures and Number of Recipients, 1975 to 1976 ($000). Table 4 Provincial Financial Assistance: Expenditures by Program, 1975 to 1977 ($000). Table 5 Monthly Social Allowance Expenditures, 1975 to 1977 ($000). Table 6 Provincial Pension-Type Allowance: Application::, Recipients and Ex penditu res, 1975 to 1971. Table 7 Social Allowance Expenditures for Adult Institutional Care by Type of Institution, i975 to 1977 ($000). Table 8 Work Incentive Caseload by Regional Office and by Category of Assistance December 31, 1977. Table 9 Work Incentive Case load Movem(,nts by Category of Assistance, 1977. Table 10 Municipal Assistance: Number of Recipients and Cases - Manitoba and Winnipeg-1976 and 1977. Table 11 Municipal Assistance: Expenditures-Manitoba and Winnipeg-1975 to 1977. 68 Table 12 Municipal Assistance: Average Case/Month Cost-Manitoba and Winnipeg -1976 and 1977. Table 13 Appeals Under the Social Allowances Act by Basis for Appeal and Disposition, 1976 and 1977. SECTION 3B-MANITOBA DAY CARE PROGRAM Table 1 Pre-schoolers in Approved Day Care Centres for the Period November 28 to December 25, 1977 by Regional Office. SECTION 3C-EMPLOYMENT SERVICES PROGRAM Table 1 Employment Services Program Caseload Movement by Category of Service, January 1 to December 31, 1977. Table 2 Employment Services Program: Applications Table 3 Job Placement by Region, April 1 to December 31, 1977. Table 4 Work Activity Projects: Total Clients Served and Placements, 1977; Enrollment as of December 31, 1977. SECTION 4-COMMUNITY SERVICES Table 1 Provincial Personal Services Caseload by Regional Office and Category December 31. 1977. Table 2 Child Welfare: Number of Children by Present Status who have been Placed and by Reporting Agency at December 31, 1977. Table 3 Child Welfare: NUmber of Children by Placement Who Have Been Placed by Reporting Agency at December 31, 1977. Table 4 Child Welfare: Registry of Physically Abused Children-Reports Received by Source, Age and Sex of Child. Description of Trauma; Disposition of Children, and Action Taken Against Abuser, 1973 to 1977. Table 5 Maximum Number of Persons Receiving Co-ordinated Home Care Services by Region, January to December 1977. Table 6 HQme Care Program: Caseload Movement by Age Group, January 1 to December 31,1977. Table 7 Average Monthly Number of Persons Receiving Selected Services by Category, January to December 1976 and 1977. Table 8A Total Number of Persons Assessed for Placement in Personal Care Homes by Region and Type of Care, January to December, 1977. Table 8B Percentage of Persons on Waiting List Receiving Home Care Pending Placement, December 1976 and 1977. Table 9 Medical Supplies and Home Care Equipment Program: Services Provided 1977 and 1976, Table 10 Dental Services: Manitoba Children's Dental Program, July 1976 to June 1977. Table 11 Dental Services: Services Provided by Clinical Staff, July 1976 to June 1977. Tabll:; 12 Dental Services: Preventive Services Provided Outside the Manitoba Children's Dental Program, July 1976 to June 1977. . SECTION 5-PUBLIC HEALTH Table 1 Communicable Diseases: Reported Cases in Manitoba, 1975 to 1977. Table 2 Venereal Diseases: Reported Cases by Type, 1942 to 1977. Table 3 Active Tuberculosis Cases by Type, 1977 and 1976 Totals. Table 4 Drug Dispensing Programs, 1974 to 1977. 69 Table 5 Public Health Nursing: Selected Reasons for Service by Region for December 1977 and 1976. Table 6 Public Health Nursing: Selected Reasons for Service by Region for December 1977 and 1976. SECTION 6-MENTAL HEALTH PROGRAMS Table 1 Mental Health Centres: Admissions and Separations by Institution, 1975 to 1977. Table 2 Mental Retardation Centres: Admissions and Separations by Institution 1975 to 1977. Table 3 Mental Health Centres: Average Daily Patient Population by Institution, 1973 to 1977. Table 4 Mental Retardation Centres -Average Daily Patient Population by Insti tution, 1973 to 1977. Table 5 Mental Health Centres: Average Length of Stay for Discharges by Institution, 1973 to 1977. Table 6 Mental Retardation Centres: Average Length of Stay for discharges by Institution, 1973 to 1977. Table 7 Mental Health Centres: Outpatient Caseload Movement, 1977. Table 8 Outpatients Treated and Outpatient Contact by Medical Staff: Brandon, S·:::lkirk and Eden Mental Health Centres, 1977. SECT:ON 7-EXTERNAL AGENCIES Table 1 Provincial Grants Made to Private Health and Social Service Organiza tions - Fiscal Years 1975-1976 and 1976-1977. SECTION 8-FITNESS AND AMATEUR SPORT Table 1 Fitness and Amateur Sport Funding and Participation. SECTION 9A-CORRECTIONAL PROGRAMS (JUVENILE) Table 1 Juvenile Probation Assessments Completed by Probation Officers; by Type, Winnipeg 1975-1977. Table 2 Juvenile Probation Caseload Movement; by Type-Winnipeg-1975 to 1977. Table 3 Juvenile Probation Caseload Movement; by Type-Province of Manitoba. Table 4 Manitoba Youth Centre: Number of Residents Admitted Annually; by Sex, 1974 to 1977. Table 5 Manitoba Youth Centre: Average Number of Residents per Day, 1974 to 1977. Table 6 Manitoba Youth Centre: Average Length of Stay Per Resident, 1974 to 1977. Table 7 Manitoba Youth Centre: Children Released; by Age and Sex, 1976, 1977. Table 8 Manitoba Youth Centre: Juveniles Released from Detention; by Reason for Admission, 1976 and 1977. Table 9 Manitoba Youth Centre: Juveniles Released from Detention by Sex, 1976 and 1977. Table 10 Agassiz Ce!1tre for Youth and Seven Oaks Centre for Youth: Admiesions by Age-1976 and 1977. 70 I t ~ Table 11 Agassiz Centre for Youth and Seven Oaks Centre for Youth: Monthly Average Number of Admissions and Discharges; and Average Daily Population -1976 and 1977. Table 12 Agassiz Centre for Youth and Seven Oaks Centre for Youth: Average Days Stay Per Discharge -1975 -1977. Table 13 Agassiz Centre for Youth and Seven Oaks Centre Tvr Youth: Number of J.D.A.'s and C.w.A.'s Cases Admitted and Discharged -1975-1977. SECTION 9B-CORRECTIONAL PROGRAMS (ADULT) Table 1 Adult Probation and Parole Services: Caseload Movement by Type Winnipeg-1976,1977. Table 2 Adult Probation and Parole Services: Caseload Move,nent by Type Province of Manitoba-1976, 1977. Table 3 Adult Probation and Parole Assessments: by Type - Winnipeg -1976, 1977. Table 4 Adult Correctional Institutions: Resident Population-1977. Table 5 Adult Correctional Institutions: All Admissions by Marital Status-1977. Table 6 Adult Correctional Institutions: All Admissions by Educational Level- 1977. Table 7 Adult Correctional Institutions: All Admissions by Age Group-1977. Table 8 Adult Correctional Institutions: Sentenced Offenders by Most Serious Offence-1977. Table 9 Adult Correctional Institutions: Sentenced Offenders by Length of Sentence -1977. Table 10 Adult Correctional Institutions: Persons Detained Under Intoxicated Persons Detention Act -1975 to 1977. Table 11 Adult Correctional Institutions: Parole Certificates and Temporary Absences-1977. Table 12 Adult Correctional Institutions: All discharges by Reason for Discharge- 1977. Table 13 Adult Correctional Institutions: Winnipeg Remand Centre Population December, 1977. SECTION 9C-CORRECTIVE & REHABILITATIVE SERVICES Table 1 Summary of Major Training Programs-Corrective and Rehabilitative Services. SECTION 3A-cont'd SECTION 4-cont'd SECION 6-cont'd SECTION 9A-cont'd SECTION 9B-cont'd l~ __ 71 TABLE: 1 "C 0 POPULATION OF MANITOBA BY HEALTH & SOCIAL DEVELOPMENT REGIONS "C AND BY AGE AND SEX, JUNE 1, 1977. ,c: ~ AGE GROUP 0 Health & Social S Z De~Qlopmenl Regions E 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70+ Totals X 0 'TI M 3.519 3.748 4.460 4.931 4.017 2.965 2.566 :.094 2.022 2.024 2.094 2.151 2.096 1.741 3.:).13 43,741 Central F 3.292 3.632 4.368 4.738 3.388 2.704 2.428 2.102 1,922 2,148 2.250 2.251 2.088 1,773 3.823 42.907 s: T 6.811 7,380 8.828 9.669 7,405 5,669 4.994 4.196 3.944 4.172 4,344 4,402 4,184 3.514 7.136 86,648 l> M 2.898 3,049 3,613 3,781 2,842 2,441 2.169 1,798 1,579 1,567 1.534 1,447 1,401 1,142 1,955 33,216 Z Eastman F 2.854 2.972 3.469 3.357 2,544 2,330 2.023 1,758 1,449 1.459 1,485 1,420 1,239 979 2,073 31,41'1 :::j r 5.752 6.021 7.082 7.138 5.386 4.771 4.192 3,556 3.028 3.026 3.019 2.867 2.640 2,121 4,028 64,627 0 M 2.292 2.493 2,920 3.118 :1.547 2.082 1.853 1.526 1,446 1,547 1,472 1.519 1.523 1,261 1,924 29,523 III Interlake F 2.087 2,358 2.850 2.853 2,035 1,926 1.772 1,486 1.441 1,394 1,461 1,478 1,349 1,037 1.981 27,508 l> T 4.379 4.851 5.770 5,971 4.582 4.008 3.625 3.012 2,887 2.941 2,933 2,997 2,872 2,298 3,905 57,031 M 1,160 1,091 1,082 1,221 1.379 1,177 811 689 575 528 535 444 425 280 449 11,846 Norman F 1.125 1.030 1,095 1,107 1.167 977 777 566 442 492 503 456 382 310 356 10,785 T 2.285 2.121 2,177 2,328 2,546 2.154 1,588 1,255 1.017 1.020 1,038 900 807 590 805 22,631 M 1,733 1.965 2,232 2,535 1,919 1,461 1,342 1.161 1.148 1,255 1,447 1,469 1,395 1,232 2,417 24,711 Parklahd F 1,645 1.780 2,281 2,395 1,596 1,294 -J 1.371 1,060 1.076 1.284 1,348 1,419 1,3~3 1,158 2,405 23,435 I\:) T 3,378 3.745 4.513 4.930 3.515 2,832 2.636 2,221 2,224 2.539 2.795 2.888 2.718 2.390 4,822 48.146 M 2,075 1.868 1.444 1.356 2.811 2,477 1,735 1,148 777 522 369 248 136 58 63 17.087 Thompson F 1,853 1,774 1,426 1,212 1,967 1.919 1,299 821 508 371 242 183 88 46 42 13.751 T 3,928 3,642 2,870 2.568 4,778 4,396 3.034 1,969 1,285 893 611 431 224 104 105 30,838 M 4,540 4,589 5,482 6,276 5,270 4.275 3.482 2,922 2.750 3,145 3,211 3,207 3,194 2,825 5,224 60.392 Westman F 4.180 4.506 5.405 5,819 5,010 4,042 3.470 2.945 2,837 3,093 3,284 3,492 3.065 2,767 6.183 60,098 T 8.720 9.095 10,887 12.095 10,280 8.317 6.952 5,867 5,587 6.238 6.495 6,699 6.259 5,592 11,407 120.490 M 22.036 23.096 24,974 27,587 30.660 28,412 22,673 16,902 15,519 15.374 15.196 13,588 11.984 9,299 15.763 293,063 Winnipeg F 20,723 21,890 23.997 27,476 32.488 28,692 22.056 16.543 15,197 15.690 16,977 15.502 14,053 11,604 23,807 306,695 T 42.759 44,986 48,971 55,063 63,148 57.104 44.729 33,445 30,716 31,064 32.173 29.090 26.037 20,903 39.570 599,758 M 40 ',53 41,899 46,207 50,805 51,445 45.290 36.631 28.240 25.816 25.962 25.858 24,073 22,154 17,~38 31,108 513,579 Total Regions F 37,759 39.942 44.891 48.957 50,195 43.961 35,119 27,281 24,872 25,931 27.550 26.201 23,587 19,674 40.670 516,590 T 78,012 81,841 91,098 99.762 101,640 89,251 71,750 55.521 50.688 51,893 53.408 50,274 45,741 37,512 71,778 1,030,169 M 741 842 783 732 641 597 456 324. :172 282 201 154 176 131 186 6.518 Unorganized F 727 823 793 630 559 518. 337 292 ~!51 190 167 137 108 98 136 5,766 Territories T 1,466 1,665 1.576 1,362 1.200 1,115 793 616 !i2'3 472 368 291 284 229 322 12,284 M :),441 3,397 3.111 2.567 1,776 1,416 1.161 907 j'13 600 508 408 318 309 510 21,142 Indian Reserves F 3.260 3.369 2.958 2,563 1,828 1,313 984 772 (133 516 410 359 290 251 408 19,914 T 6.701 6.766 6,069 5,130 3,604 2,729 2,145 1,679 1,:146 1,116 918 767 608 560 918 41,056 en M 44,435 46,138 50,101 54,104 53,862 47,303 38.248 29.471 26.1101 26,844 26.567 24,635 22.648 18,278 31.804 541,239 m Tota' F 41,746 44.134 48,642 52,150 52,582 45,792 36.440 28.345 25,j'56 26,637 28.127 26,697 23,965 20,023 41.214 542,270 ~O Manitoba T 86,181 90,272 98,743 106.254 106,444 93.095 74,688 57,816 52,1;57 53,481 54,694 51,332 46.633 38.301 73,018 1,083.509 m::! ,0 ...... !'!'~ w • W 10' .---::-~--- '--"~-'''''-.~~--~~-'''~=':~=~-=':'~-r-'~_ . , " H U D s o N ",-,,' :~ '. l' f' t / B y I, A ',' / ,f ",~ THOMPSON REGION " j . ,. ~, ,-' " Health & Social ''''':0' (:~ .,-~ \~ I .~;. Development t.t.~ 1 " t~. l ',-, 1 \ ~ Regional Boundaries ..'~ ~.,,;. ~) .. November 1976 r r r 1"1 ",. w 73 .. I TABLE: 1 < LlVI: BIRTHS, MARRIAGES, DEATHS & STILLBIRTHS ,..~ WITH RATE PER 1,000 POPULATiON rJ) (M.H.S.C. & STATISTICS CANADA POPULATION FIGURES) ~ MANITOBA -1977, 1976 & 1915 :::! rJ) :::! o 1977* 1976 1975 rJ) Rate Per Rate Per Rate Per Rate Per Rate Per Rate Per Number M.H.S.C. Stat. Can. Number M.H.S.C. Stat. Can. Number M.H.S.C. Stat. Can. Pop. Est. Pop. Pop. Est. Pop. Pop. Est. Pop. LIVE BIRTHS 16,327 15.1 15.8 17,038 15.9 16.7 17,529 16.6 17.2 MARRIAGES 8,098 7.5 7.8 8,296 7.7 8.1 8,910 8.4 8.7 DE.ATHS 8,039 7.4 7.8 8,315 7.8 8.1 8,429 8.0 8.3 169 10.4** 207 12.1 •• 175 H'l.O" ~ STILLBIRTHS 'Preliminary figures (excludes 1977 registrations received in 1978). "Rate is the number of foetal deaths of 20 or more weeks gestation per 1,000 live births. Population according to: M.H.S.C. Statistics Canada 1975-1,055,676 1975-1,019,000 1976-1,071,788 1976-1,021,506 1977-1,083,509 1977 -1,032,400 VITAL STATISTICS SECTION: 2 TABLES: 2 & 3 TABLE: 2 DEATHS IN MANITOBA BY AGE AND SEX, 1977 AND BY AGE, 1976 AND 1975 Male" Female" Total 1977" Total 1976 Total 1975 UNDER 1 YEAR 163 121 312** 278 280 1-4 YEARS 30 25 55 61 51 5-14 YEARS 45 27 72 79 78 15-24 YEARS 181 64 245 235 222 25-44 YEARS 284 122 406 422 403 45-64 YEARS 1,082 536 1,618 1,694 1,760 65-79 YEARS 1,738 1,047 2,785 2,812 2,793 80 YEARS & OVER 1,233 1,313 2,546 2,734 2,842 NOT STATED TOTAL 4,756 3,255 8,039 8,315 8,429 *Preliminary figures (excludes 1977 registrations received in 1978). "Includes 28 def.'ths whose sex was not recorded. TABLE: 3 CERTAIN SELECTED CAUSES OF DEATH WITH RATE PER 100,000 POPULATION-MANITOBA-1977* Number Rate"'· Rate·** i. Heart disease (410-429) 2,570 237.2 248.9 2. Cancer (140-209) 1.784 16.4.7 172.8 3. Cerebrovascular disease (430-438) 752 69.4 72.8 4. Accidents (E800-E949) 514 47.4 49.8 5. Pneumonia (480-486) 338 31.2 32.7 6. Suicide (E950-E959) 176 16.2 17.0 7. Diabetes (250) 109 10.~ 10.6 8. Arteriosclerosis (440) 102 9.4 9.9 9. Old Age (290 & 794) 27 2.5 2.6 10. Nephritis (580-583) 25 2.\3 2.4 'Preliminary figures (excludes 1977 registrations received in 1978). 'ORate per M.H.S.C. population records as at June 1, 1977. UORate per Statistics Canada estimated population figures. 75 VirAL STATISTICS SECTION: 2 TABlE:4A TABLE: 4A DEATH RATES UNDER ONE YEAR OF AGE IN MANITOBA: 1971 TO 1977 Still birth 1 P'erinataP Neonatal Post-Neonatal Infant 1971 12.6 22.4 11.6 6.6 18.2 1972 12.8 23.1 12.6 7.6 20.2 1973 11.4 20.1 10.3 6.6 16.9 1974 10.6 19.2 10.6 6.0 16.6 1975 10.0 19.4 10.6 5.4 16.0 1976 12.2 : 21.1 11.1 5.2 16.3 19772 10.4 22.1 13.2 5.9 19.1 120 or more weeks gestation. 2Preliminary figures (excludes 1977 registrations ,'eceived in 1978). 76 ...... ------~ ------~ ------,------~ TABLE:4B INFANT MORTALITY BY REGION OF RESIDENCE MANITOBA 1975-1977 Infant Deaths Live Births Rate Per 1,000 Live Births 1975 1976 1977* 1975 1976 1977* 1975 1976 1971* CENTRAL 19 21 19 1,375 1,343 1,332 13.8 15.6 14.3 EASTMAN 9 12 17 1,067 1,116 1,172 8.4 10.8 14.5 INTERLAKE 11 18 8 894 806 770 12.3 22.3 10.4 NORMAN 24 21 19 1,325 1,200 1,093 18.1 17.5 17.4 PARKLAND 8 10 10 753 694 631 10.6 14.4 15.8 WESTMAN 31 20 21 1,763 1,779 1,675 17.6 11.2 11.8 --l --l WINNIPEG 110 121 130 8,755 8,504 7,967 12.6 14.2 16.3 INDIAN RESERVES 22 16 27 521 507 531 42.2 31.6 50.8 UNORG. TEA. 18 20 18 596 677 753 30.2 29.5 23.9 MANITOBA TOTAL 252 259 269 17,049 16,627*' 15,925** 14.8 15.6 16.9 NON-RESIDENTS'" 28 19 43 479 405 402 58.5 46.9 107.0 TOTAL 280 278 312 17,528 17,032 16,327 16.0 16.3 19.1 'Preliminary figures (excludes 1977 registrations received in 1978). '''Includes 1 live birth whose region of residence was unknown. "'In previous years this table excluded deaths and live births occurring to non-Manitobans in Manitoba. TABLE: 4C < LIVE BIRTHS AND INFANT MORTALITY: MANITOBA 1968-1977* r-~ en ~ :! 20,000 en :! o en 19,000 1",\1",\11 IIII1I """""",,'" ~" 18,000 ...,\11111 1 ~"'Ih. 11111'" """"" LIVE BIRTrlS "".,,,,,,,,,,,, 1111\1,,11,,111\11 """""""", 17,000 """ '"'"11" .. i""'l "11 ~/II ~/I" 16,000 V V 50 0" " 40 0 ...... cA ...... r...... ~ ~ .... INFANT MORTALITY 300 ...... ·Preliminary figures for 1977 (eXCludes 1977 registrations received in 1978). .. -...-..,..'-----~---~--~ -'- -' - ~ VITAL STATISTICS SECTION: 2 TABLE: 5 TABLE: 5 DEA1·HS OF CHILDREN UNDER ONE YEAR OF AGE UY CAUSE AND AGE-MANITOBA-1977* 7 to Less 28 Days to Less Than Than 28 Less Than Less Than 7 Days Days 1 Year 1 Year Congenital Anomalies (740-759, 243, 270-3, 275.0) 29 3 15 47 Hyaline Membrane Disease (776.1) 39 4 1 44 Sudden Death (795) 1 3 28 32 Immaturity (777) 25 26 Pneumonia (480-486) 6 2 13 21 Cerebral Hemorrhage (431) 15 1 1 17 Injury at Birth (764-772 Except .9's in 764-768) 12 12 Asphyxia of Newborn (776.9) 11 1 12 Accidents (800-999) 2 9 12 Gastro-Intestinal (008-009, 535, 561-3) 8' 10 Respiratory distress Syndrome (776.2) 8 8 Others 57*' 5 19 71H Totals 196" 20 96 312" 'preliminary figures (excludes 1977 registrations received in 1978). "Includes 28 deaths whose cause was not recorded. 79 VITAL STATISTICS SECTION: 2 TABLES: 6 & 7 TABLE: 6 DEATHS FROM TUBERCULOSIS BY AGE AND TYPE MANITOBA-1977 Under 15 15-44 45-64 65 & Over Total M F M F M F M F M F Respiratory (010-012) 2 2 Other (013-019) 2 4 TOTALS 1 2 3 6 *Preliminary figures (excludes 1977 registrations received in 1978). TABLE: 7 DEATHS AND DEATH RATES· DUE TO ACCIDENTS MOTOR VEHICLE AND OTHER-MANITOBA-1975 TO 1977 Motor Vehicle Accidents Other Accidents Total Accidents Deaths Death Rate Deaths Death Rate Deaths Death Rate 1975** 213 20.2 330 31.3 543 51.4 1976** 218 20.3 320 29.9 538 50.2 1977*** 179 16.5 335 30.9 514 47.4 *Death rate is per 100,000 population -M.H.S.C. population records at June 1st for the specific year. **1975 and 1976-Vital Statistics final figures. *"Preliminary figures (excludes 1977 registrations received in 1978). 80 INCOME SECURITY SECTION: 3A TABLE: 1 TABLE: 1 PROVINCIAL FINANCIAL ASSISTANCE CASE LOAD BY CATEGORY -AT DECEMBER 31, 1974 TO 1977 Case Category 1974 1975 1976 1977 SOCIAL ALLOWANCES: 22,917 23,159 22,246 21,317 5-1-F' N/A N/A 368 395 MOTHER'S ALLOWANCE 6,790 6,555 6,304 6,075 r AGED 7,192 6,686 5,815 5,399 LONG TERM OISABILITY 7,661 8,805 8,854 8,829 r TEMPORARY DISABILITY 582 479 41f1 176 ~ SPECIAL DEPENDENT CARE 84 52 43 29 , STUDENT AID 608 582 443 414 ,I GENERAL ASSISTANCE 678 814 655 660 SPECIAL CASES 24 24 17 20 ~ TOTAL 23,619 23,997 22,918 21,997 r 'A child under 18, enrolled in his/her own right (previously reported with Mother's Allowance). • 81 ., TABLE: 2 z PROVINCIAL FINANCIAL ASSISTANCE CASELOAD (') 0 BY REGIONAL OFFICE AND CATEGORY OF ASSISTANCE :s: DECEMBER 31, 1977 m en m (') C Norman Parkland Thompson Westman Winnipeg Total :lJ Central Eastman Interlake =i SOCIAL ALLOWANCES: 2,443 1,010 1,353 469 1,598 335 2,372 11,737 21,317 -< 5-1-F 35 11 36 18 34 32 39 190 395 MOTHER'S ALLOWANCE 286 138 244 163 296 188 500 4,260 6,075 AGED 652 324 444 97 ~10 40 607 2,725 5,399 LONG TERM DISABILITY 1,436 505 607 162 715 63 1,182 4,159 8,829 TEMPORARY DISABILITY 6 26 13 13 2 17 99 176 co I\.) SPECIAL DEPENDENT CARE 5 5 2 16 29 STUDENT AID 23 6 17 16 29 10 25 288 414 GENERAL ASSISTANCE 55 55 33 226 106 166 19 660 SPECIAL CASES 13 2 5 20 TOTAL 2,511 1,065 1,386 695 1,706 501 2,391 11,742 21,997 , t -: ..... ------. ------ INCOME SECURITY SECTION: 3A TABLE: 3 TABLE: 3 SOCIAL ALLOWANCES HEALTH SERVICES: EXPENDITURES AND NUMBER OF RECIPIENTS 1975 TO 1977 ($000) 1975 1976 1977 DENTAL 832.7 1.183.9 1.249.3 DRUGS 1,975.9 2.269.4 2,378.5 OPTICAL 227.9 240.1 33.4 TOTAL 3,036.5 3,693.4 3,861.3 AVERAGE MONTHLY NUMBER OF RECIPIENTS 43,342 43,166 41,526 83 TABLE: 4 PROVINCIAL FINANCIAL ASSISTANCE EXPEN[IIITURES BY PROGRAM 1975 TO 1977 ($000) Program Expenditure 1975 1~76 1977 SOCIAL ALLOWANCE & GENERAL ASSISTANCE* $42,498.4 $47,581.4 $48,568.0 SOCIAL ALLOWANCE HEALTH SERVICES 3,036.5 3,693.4 3,861.3 DISABLED PERSONS' ALLOWANCE 105.9 .* BLIND PERSONS' ALLOWANCE 54.9 VOCATIONAL REHABiliTATION SERVICES 1,440.3 469.3*" WORK ACTIVITY PROJECTS 2,494.9 2,898.3 2,914.2 " > !: a: * Includes Home Care Expenditures + Included with Rehabilitaton Services for the Disabled ::J Included with Social Allowances Expenditures for 1976, 1977 ++ Expenditures under these program titles started in April 1976 () ** III .. * Expenditures are fo~ January t:, March only +++ Expenditures are for April to December only (J) III o:E ()z ~ ~; ; I . 'I. INCOME' SECURITY SECTION: 3A TABLE: 5 TABLE: 5 MONTHLY SOCIAL ALLOWANCES EXPENDITURES*-1975 TO 1977 ($000) Month 1975 1976** 1977** JANUARY 3,619.3 4,154.0 4,206.0 FEBRUARY :.• ,:'79.5 879.4 4,177.9 MARCH 4,214.5 7,951.5 5,038.0 APRIL 2,653.3*** 2,763.3 3,160.6 MAY 3,640.7 4,382.3 4,064.9 JUNE 3,308.3 4,327.2 4,018.1 JULY 3,388.7 3,902.4 3,823.1 AUGUST 2,888.6 3,656.4 4,025.0 SEPTEMBER 3,801.6 3,915.3 3,822.1 OCTOBER 1,143.1 3,772.6 3,763.5 NOVEMBER 6,250.8 3,964.7 4,356.0 DECEMBER 3,710.0 3,912.3 4,112.8 TOTAL 42,498.4 47,581.4 48,568.0 *Includes Social Allowances and General Assistance and excludes Social Allowance Health Services. **Includes Disabled Persons' and Blind Persons' Allowances. *"Includes Home Care Expenditures April to December. 85 TABLE: 6 z (') PROVINCIAL PENSION-T :PE ALLOWANCES, APPLICATIONS; o RECIPIENTS; EXPENDITURE; BY CATEGORY-1975 TO 1977 ($000) s:: m tn Number of Recipients Total Expenditure m (') Number of Applications December 31 (Including Inter-Provincial) C Category ::c 1975 1976* 1977 1975 1976 1977 1975 1976 1977 =i -< DISABLED PERSONS' ALLOWANCES 9 105 74 56 105.9 67.6 51.9 BLIND PERSONS' ALLOWANCES 2 2 48 36 30 54.9 32.5 27.0 'Program phasing out-no new applications after April 1, 1976. enOJ TABUE: 7 SOCIAL ALLOWANCES EXPENDITURES FOR ADULT INSTITUTIONAL CARE: BY TYPE OF INSTITUTION-1975 TO 1977 ($000) tn m Institution Type 1975 1976 1977 ~~ ,0m- Homes for the Aged including Nursing Homes and Other 831.7 804.7 810.7 r~ :.; Community Residences for the Retarded 465.7 585.4 722.0 1(0»(lI)Co) Total 1,297.4 1,390.1 1,532.7 "'" . •,. '. ' , = .. _ _ .... l...... ______...... ~------. __..-...-,- __ ~ ------ INCOME SECURITY SECTION: 3A TABLE: 8 & 9 TABLE: 8 WORK INCENTIVE CASELOAD: BY REGIONAL OFFICES AND BY CATEGORY OF ASSISTANCE-DECEMBER 31, 1977 So'cial Allowances Disability Regional General Office M.A. A.S.A. L.T.D. T.D. Assistance Total CENTRAL 37 2 186 5 230 EASTMAN 7 10 2 19 INTERLAKE 15 ?5 40 NORMAN 14 16 31 PARKLAND 13 17 6 36 THOMPSON 10 5 15 WESTMAN 70 94 8 172 WINNIPEG 342 330 674 TOTAL 508 3 663 42 1,217 TABLE: 9 WORK INCENTIVE CASELOAD MOVEMENT: BY CATEGORY OF ASSISTANCE-1977 Intake Category of # of Cases # of Cases Category Assistance Jan. '1/77 Intake Outgo Dec. 31177 as a % M.A. 517 779 788 508 56.4 AS.A. ,6 21 24 3 2.0 LONG TERM DISABILITY 75'7 531 625 663 38.5 TEMPORARY DISABILITY :2* 7 8 0.1 GENERAL ASSISTANCE 60 42 60 42 3.0 TOTAL 1,34:2· 1,380 1,505 1,217 100.0 'Adjustment at Winnipeg South-West office. , ~ , 87 TABLE: 10 Z MUNICIPAL ASSISTANCE: NUMBER OF RECIPIENTS AND CASES 0 MANITOBA AND WINNIPEG UNICITY-1976 AND 1977 0 is: m Total Province Winnipeg Unicity en m 0 Month Recipients Cases Recipients Cases c: 1976 :lJ 1977 1976 1977 1976 1977 1976 1977 ::j JANUARY 8,842 8,816 4,222 4,393 7,028 7,070 3,471 3,685 -< FEBRUARY 8,670 8,918 4,176 4,242 6,874 6,842 3,432 3,480 MAROH 8,802 9,165 4,203 4,615 6,821 7,183 3,400 3,793 APRIL 8,349 8,603 4,037 4,339 6,631 6,649 3,340 3,504 MAY 7,599 7,497 3,712 3,918 6,038 5,871 3,045 3,201 JUNE 7,876 7,351 4,027 3,774 5,946 5,652 3,027 2,899 co co JULY 7,708 7,544 4,062 4,054 6,082 5,643 3,130 3,008 AUGUST 8,046 7,564 4,099 4,160 6,002 5,728 2,907 3,170 SePTEMBER 7,814 7,303 4,020 3,861 6,355 5,654 3,349 3,060 OCTOBER 7,371 7,470 3,528 3,942 5,781 5,573 2,801 3,063 NOVEMBER 7,914 7,319 3,985 4,144 6,256 5,882 3,270 3,305 DEOEMBER 8,746 8,487 4,364 4,[;31 6,906 6,134 3,622 3,537 INCOME SECURITY SECTION: 3A TABLE: 11 TABLE: 11 MUNICIPAL ASSISTANCE: EXPENDITURES FOR MANITOBA AND WINNIPEG UNICITY 1975 TO 1977 ($000) Total Province Winnipeg Unicity Month 1975 1976 1977 1975 1976 1977 ~ JANUARY 719.3 688.6 733.4 664.4 614.2 659.1 I FEBRUARY 697.7 675.7 753.5 619.0 591.6 643.7 MARCH 676.4 737.5 835.7 599.3 641.0 714.6 APRIL 654.0 694.6 774.5 547.0 608.9 673.0 MAY 637.8 608.8 646.3 513.3 537.7 578.5 I JUNE 527.0 605.4 646.2 475.8 551.3 568.9 JULY 559.7 557.8 595.7 486.0 510.3 515.9 f , AUGUST 541.5 579.7 644.3 488.3 507.9 564.8 SEPTEMBER 549.0 626.2 621.6 486.7 572.3 548.0 l OCTOBER 604.6 559.3 645.6 547.6 493.4 561.8 NOVEMBER 541.5 716.0 729.6 488.1 637.3 633.7 t DECEMBER 783.2 a05.7 848.2 655.6 713.7 693.9 TOTAL 7,491.7 7,855.3 8,474.6 6,571.1 6,979.6 7,355.9 89 TABLE: 12 MUNICIPAL ASSISTANCE: AVERAGE CASE MONTH COST: MANITOBA AND WINNIPEG UNICITY -1976 AND 1977 z o o s: Total Province Winnipeg Unicity m Month 1976 1977 1976 1977 en om MARCH 175.47 181.08 188.53 188.40 c: :D JUNE 150.34 171.22 182.13 196.24 =i SEPTEMBER 155.77 160.99 170.89 179.08 -< DECEMBER 184.62 187.20 197·.05 196.18 ANNUAL AVERAGE 162.18 169.58 179.91 185.26 TABLE: 13 APPEALS UNDER THE SOCIAL ALLOWANCES ACT BY BASIS CD 0 FOR APPEAL AND DISPOSITION ;t977 AND 1976 Disposition Totals Allowed Dismissed Withdrawn Did Not Appear mher - Basis of Appeal 1977 1916 1977 1976 1971 1976 1977 1976 1977 1976 1977 '1976 Not Allowed To Apply 8 2 1 1 1 2 1 4 Decision Delayed 2 1 1 1 1 Application Denied 89 78 17 16 31 34 24 12 7 9 10 7 Assistance en Cancelled 98 101 17 17 42 40 29 23 9 12 9 m ~~Q Assistance mm- Insufficient 174 173 38 37 71 66 46 54 12 7 7 9 rr- O r!1r!1~ Outside ...... w Jurisdiction 17 5 17 5 WI\)> TOTAL 388 360 73 72 146 140 102 89 28 29 39 30 _~J.M...., - ~ ~ ~ ..- -..,- ~ ----.. -. -'" .;L -"""""'-__ ...... -..,;... __ ...... O-_~jL-.J'L._ . - - - -~ - ,-----. -- .~, ,I I ; '. i I 1 I i j i I ! I I 1 I t II 11 r 2 I: f [ 1. I. , " '! ------~ ------. ------~ - -- -- .- - -. - -....- --..... TABLE: 1 s: » PRE-SCHOOLERS IN APPROVED DAY CARE CENTRES z FOR THE PERIOD NOVEMBER 28 TO DECEMBER 25, 1977 ::::j 0 »III Number of Number of Percentage of C Actual Number of Number of Number of Licensed Pre-Schoolers Pre-Schoolers Pre-Schoolers in » Actual Number of Licensed Day Care Centres Child Spaces Receiving Care Receiving Subsidy Care Receiving -< Day Care Centres Child Spaces Reporting Reporting During Month During Month Subsidy (') > Family Group Total Family Group Tolal Fam:ly Group Total Family Gr:'::jJ Total Family Group Total Family Group Total Family Group Total :c m CENTRAL 2 14 16 4 325 329 13 13 305 305 356 356 94 94 26.4 26.4 'tI :c EASTMAN 5 15 20 16 267 263 3 14 17 9 251 260 7 377 384 2 24 26 28.6 6.4 6.8 0 G> INTERLAKE 9 14 23 33 318 351 8 13 21 31 293 324 23 381 404 6 63 69 26.1 16.5 17.1 »:c NORMAN' 11 11 22 40 397 437 5 11 16 18 397 415 14 575 589 9 84 93 64.3 14.6 15.8 s: PARKLAND 2 8 10 9 190 199 7 8 5 170 175 3 229 232 2 33 35 66.7 14.4 15.1 WESTMAN 75 23 98 227 493 720 62 21 83 191 453 644 199 723 922 137 94 231 68.8 13.0 25.1 CD ...J. WINNIPEG 97" 8f 184' 280' 2,805 3,085' 97 87 134 280 2,805 3,085 281 3,648 3,929 207 870 1,077 73.7 23.9 27.4 TOTAL 201' 172 373' 609' 4,795 5,404' 176 166 342 534 4,674 5,208 527 6,289 6,816 363 1,262 1,625 68.8 20.1 23.8 Note: These preliminary statistics are based on attendance reports received for the period from those facilities approved prior to November 28, 1977. 'Includes Thompson 'Includes 49 Family Day Care Centres and 89 Ii(;ensed spaces administered by Family Services. TABLE: 1 EMPLOYMENT SERVICES PROGRAM CASELOAD* MOVEMENT BY m CATEGORY OF SERVICE, JANUARY 1, 1977 TO DECEMBER 31, 1977 3: 'tI r- 0 Number of Number of Intake -< 3: Cases Intake Reclass Reclass Outgo* Cases Category m Caseload Category Jan. 1/77 In Out Dec. 31/77 As a % Z -l en EMPLOYMENT SERVICES 371 243 118 173 431 128 14.2 m :zJ ~ VOCATIONAL COUNSELLING 860 1,066 255 606 967 608 62.3 0 m en VOCATIONAL TRAINING 223 125 288 ](31 204 271 7.3 'tI :II 0 C') WORK ASSESSMENT 34 19 20 ::'3 27 8 1.1 :II > WORK TRAINING 36 8 29 14 41 18 .5 3: (!J I\:l WORK ACTIVITY PROJECTS" 285 201 216 173 332 197 11.7 SPECIAL PROJECTS 21 6 22 14 26 9 .4 EMPLOYMENT SERVICES FOLLOW-UP COUNSELLING ... 44 297 34 107 200 2.6 TOTAL 1,830 1,712 1,245 1,213 2,135 1,439 100.1 PENDING 57 204 N/A N/A 221 40 en m 'Caseload data adjusted under "Outgo". m-~~ "Work Activity Category - has always been an activity of Employment Services. Includedforthe first time as previous inclusions r- O f!I~ would have confused Work Activity Project statistics. ....w "'Employment Services Follow-up Counselling-this category was incorporated as of April 1, 1977 with the revision of the 0 statistical gathering system. - .... TABLE: 2 m :: JOB PLACEMENT BY REGION* r- APRIL 1 TO DECEMBER 31, 1977 0" -< :g: m Z -I Method of Placement tn m Social Allowance :tJ:s Region (') Mothers Allowance Other Social Allowance Non-Social Allowance Total m tn By E.S. By E.S. By E.S. By E.S. Staff Self Staff Self Staff Self Staff Self :tJ 0" CENTRAL 5 2 3 4 22 8 30 14 Ci) :tJ 9 17 »- EASTMAN 6 1 9 10 s;: INTERLAKE 2 co w PARKLAND 5 8 5 20 10 28 20 WESTMAN 4 8 9 41 35 54 44 WINNIPEG 37 13 6 11 26 24 69 48 TOTAL" 46 34 26 23 118 88 190 145 • A new reporting system was introduced April 1, 1977. As a result only data for the last nine months of 1977 are presented. TABLE: 3 s:m "0 r 0 EMPLOYMENT SERVICES: APPLICATIONS s:-< (NEW AND RE-OPENED CASES ONLY) BY SOURCE OF REFERRAL AND REGION m JANUARY 1 TO DECEMBER 31, 1977 Z -I (/) m Work ::xJ Source of Income Personal External Activity Total ::s Referral Security 0 Service Municipal Agencies Programs Self Applications m (/) Regional "0 Office ::xJ 0 C> CENTRAL 40 17 1 9 4 39 ::xJ 110 » EASTMAN 29 15 27 12 83 s: c.o .j>. INTERLAKE 9 13 5 17 45 PARKLAND 34 5 18 6 55 118 WESTMAN 89 56 48 142 4 146 485 WINNIPEG 295 137 24 107 11 247 821 TOTAL 496 243 74 308 25 516 1,662 TABLE: 4 m :l: WORK ACTIVITY PROJECTS: TOTAL CLIENTS SERVED AND "tI PLACEMENTS, 1977; ENROLLMENT AS OF DECEMBER 31, 1977 or -< :l: m Z Placements in -I Project Referrals to Total Clients Employment, Training Current Enrollment t/) Other Agencies* Served & Courses m December 31, 1977 :0 WINNIPEG HOME :s IMPROVEMENT PROJECT 246 (') 27 56 101 m t/) "tI PIONEER SERVICES CENTRE 9 60 12 12 :0o C) WESTBRAN WORK :0 ACTIVITY PROJECT 55 309 99 87 s:3> CD CJ1 AMARANTH WORK ACTIVITY PROJECT 12 102 28 38 MANITOBA ASSOCIATED NORTHERN WORK ACTIVITY PROJECT 14 156 53 66 TOTAL 117 873 248 304 'Total number referred to other Departments or resources, deceased or forcibly institutionalized. TABLE: 1 0 PROVINCIAL PERSONAL SERVICES CASELOAD 0=: BY REGIONAL OFFICE AND CATEGORY -DECEMBER ~~77 =':: c: z ::j -< Case Category Central Eastman Interlake Norman Parkland Thompson Westman Winnipeg Total en CHILD WELFARE' 216 494 203 562 436 m 404 2,315 ::0 -UNMARRIED MOTHER 7 25 2 14 8 14 70 ::: 0 m -CHILDREN UNDER DIRECT SUPERVISION 115 162 152 294 221 132 1,076 en -PROTECTION (FAMILIES) 57 272 24 202 161 181 897 -ADOPTION APPLICATIONS 37 35 25 52 46 77 272 FAMILY AND INDIVIDUAL COUNSELLING 40 155 141 20 54 95 103 6397(4718) 7,005 -AGED AND INFIRM 39 15 26 8 27 4737(4714) 4,853 -OTHERS 140 115 20 46 94 76 1660(4) 2,152 <.D en MARRIAGE CONCILLIATION 1,303 1,303 -SERVICE UNDER STATUTES 1,269 1,269 -COUNSELLING ONLY -COURT ORDERED REPORTS 34 34 REHABILITATION SERVICES FOR THE DISABLED' 269 140 93 20 123 8 283 610 1,546 -MENTALLY RETARDED 232 121 79 14 115 4 203 484 1,252 -POST MENTALLY ILL 19 9 8 3 7 ·77 114 238 -OTHERS" 18 10 6 3 3 3 12 56 TOTAL 309 511 728 243 739 539 386 8,714 12,169 inm ~Q OContinuing Care. m- 'Excludes Children's Aid Societies. rO !'!'~ "In previous years this category included cases that are now a part of the Employment Services Program. ....~ lExcludes designated private agencies. « ,. COMMUNITY SERVICES SECTION: 4 TABLE: 2 TABLE: 2 NUMBER OF CHILDREN BY PRESENT STATUS WHO HAVE BEEN PLACED* BY REPORTING AGENCY (AS AT DECEMBER 31, 1977 AND TOTALS FOR 1976 & 1975) Total at Total at Total at Wards T.C.P.... Other Dec31/77 Dec31/76 Oec31/75 EASTMAN 107 7 1 115 117 96 INTERLAKE 111 23 28 162 150 156 ~ PARKLAND 272 16 6 294 298 294 NORMAN 134 7 11 152 203 239 rHOMPSON 212 8 221 224 170 ,.~ WINNIPEG 94 30 8 132 172 168 TOTAL REGIONAL OFFICES 930 91 55 1,076 1,164 1,123 f CAS. CENTRAL 264 23 20 307 338 373 CAS. EASTERN 265 31 2 298 335 429 f CAS. WESTERN 404 23 3 430 458 . 485 ~ CAS. WINNIPEG 1,405 71 19 1,495 1,690 1,842 JEWISH CHILD & ~ FAMILY SERVICES 23 5 4 32 40 30 TOTAL CHILDREN'S ~ AID SOCIETIES 2,361 153 48 2,562 2,861 3,159 ~ TOTAL 3,291 244 103 3,638 4,025 4,282 'Placed-Placements other than the home of the child's parents or person in whose care the child was. "T.C.P. - Temporary contract placement. 97 - TABLE: 3 (') 0 NUMBER OF CHILDREN BY PLACEMENT :!il: WHO HAVE BEEN PLACED* BY REPORiilNG AGENCY (AS AT DECEMBER 31, 1977) :!il: c: z ::j ~E.GION~ CHILDREN'S AID SOCIETIES " ~NCv/REGION -< Jewish Total til PLACEMENT Eastman Interlake Parkland Norman Thompson Winnipeg Central Eastern Western Winnipeg C. & F.S. m ::tJ 528 7 1,705 FOSTER HOMES 73 105 189 98 127 40 179 163 196 ~ (') SPECIAL RATE FACILITIES 8 12 22 17 30 63 181 m -FOSTER & BOARDiNG HOMES 2 2 22 2 til PRIVATE GROUP FOSTER HOMES 252 GROUP FACILiTIESIINST. 2 5 13 12 12 21 9 7 20 151 OWN AGENCY GROUP FOSTER HOMES 8 6 29 177 18 238 44 44 OVoi~l AGENCY GROUP FACILITIES OWN AGENCY RECEIVING GROUP FACILiTIE:S 20 21 (!) 12 12 CD EMERGENCY/SHELTER FACILITY 109 OTHER FACILITIES 3 3 4 5 8 3 78 3 PRIVATE INSTITUTIONS IN MANiTOBA 2 17 5 16 9 14 6 12 87 169 PRIVATE INSTITUTIONS OUTSIDE MANITOBA 2 3 16 23 TOTAL PAY CARE 80 116 246 121 165 87 243 203 307 1,156 30 2,754 SELECTED ADOPTION PROBATION 19 14 12 4 17 22 19 49 42 105 304 NON·PAY CARE INSTITUTIONS 16 32 36 27 39 23 45 46 81 234 580 2 884 TOTAL NON·PAY CARE 35 46 48 31 56 45 64 95 123 339 3,638 TOTAL PAY AND NON-PAY CARE 115 162 294 152 221 132 307 298 430 1,495 32 til ADOPTIONS m AGENCY WARDS PLACED FOR ~~ 5 10 38 24 31 18 29 79 81 233 548 m- ADOPTION DURING 1977 .... 0 ~~ 'Placed -Placements other than the home of the child's parents or person in whose care the child was. (.0)+:0 .. COMMUNITY SERVICES SECTION: 4 TABLE: 4 TABLE: 4 REGISTRY OF PHYSICALLY ABUSED CHILDREN IN MANITOBA REPORTS RECEIVED: BY SOURCE, AGE AND SEX OF CHILD, DESCRIPTION OF TRAUMA, DISPOSITION OF CHILDRE:N, AND ACTION TAKEN AGAINST ABUSER, 1973-1977 Source 1073 1974 1975 1976 1977 Children's Aid Societies: 61 54 87 99 119 ~ Central ...... ~ ...... 3 3 3 4 9 Eastern ...... 0· •••••• 1 3 2 4 1 f Western ...... 0 ... ' ...... 12 12 12 14 14 ~ Winnipeg •••• 0 ...... , ...... 0 • 45 36 70 77 95 Regional Offices: 9 28 16 a6 39 ~ Winnipeg ...... ~ ...... ~ ...... 2 1 Central ...... Of •• ••• .. Eastman '" "0' of'''' ...... 0 •••• 6 Interlake ...... ~ ...... " ...... 2 6 11 6 6 ~ Norman ...... ~ ...... 3 10 4 3 6 ~. Parkland ...... 4 5 7 15 Thompson ...... 17 11 Total ...... 0.0 ...... 0 .... 0 ...... 70 82 103 135 158 Age: Under 1 year .....•...... •...... •. 20 7 15 21 19 1-3 years ...... ~ ~ ...... ~ . 23 33 27 39 45 4-10 years •..•...... •...•••...... 19 30 38 43 55 11-16 years ...... •.•..•.••.•.••.•••.. 6 5 22 30 31 16 and over . ~ ...... ~ ...... 2 7 1 2 8 Total • •••••• # ••••••••••••••• ~ •••••••••• 70 82 103 135 158 Sex: Males ...... _ ...... 36 54 53 60 69 Females •• oe 0 •••••••••••••••••••••••••• 34 28 50 75 89 Total ...... of'o 0 •••••• 70 82 103 135 158 Trauma: Death •••• ,. 0 •••••••• '•••••••••••••••• o. 4 2 2 6 Fracture(s) •••••• 0 0 •••• 0 ••• , , •••••••••• 16 11 16 19 14 Burns .0 •• 0 '" 0" 00 •• 0 ••••••• t ••• 0'" o' 5 7 5 6 7 Bruises and welts ...... 41 56 60 78 96 Rape • •••••••••••••••• ~ • # •••••••••••••• Sexual Assault .,. t •• ·.··.; ...... 6 15 26 Other •• 0 ••• , ...... 0 •••• 0'0' 0 ••• 8 4 14 15 9 Total • • • • • .. • • • • • • • • • • • • I • • , • ~ • • • • • • • • • • 70 82 103 135 158 99 COMMUNITY SERVICES TABLE: 4 (cont'd) SECTION: 4 TABLE: 4 1973 1974 1975 1976 1977 Alleged Abuser: Father ...... •....•... 11 18 21 46 47 Mother ...... 22 20 22 33 49 Both parents ...... •...... 9 8 10 6 8 Common-law spouse ...... 6 4 16 17 20 Unknown ...... •...... 9 23 16 16 15 Other ...... 13 9 18 17 19 Total ...... 70 82 103 135 158 Disposition of Children: 1. Child left or returned home with agency supervision ...... •.. 41 32 51 57 69 2. Non-ward care ...... 4 4 4 16 4 3. Temporary guardianship ..•...... 10 14 32 20 21 4. Permanent guardianship ...... 5 5 3 5. Deceased ...... 4 2 2 6 6. Investigation only ...... 2 20 12 30 39 7. Pending ...... •..•...... 8 7 5 16 Total ...... 70 82 103 135 158 Action(s) Taken Against Alleged Abuser: 1. Home supervision .. < •••••••••••••••• 41 35 51 46 47 2. Children removed into non-ward care 4 4 4 16 3 3. Temporary loss of parental rights .... . 10 12 29 20 21 4. Permanent loss of parental rights .... . 5 1 5 3 5. Criminal Court proceedings ...... 2 2 10 16 6. Investigation only ...... 2 23 12 30 27 7. Pellding (Family Court & Criminal Court) ...... 9 6 4 8 16 8. Supportive or Therapeutic Services offered ..•.•....•...... •...... 25 NOTE: 1. "Source" designates the child caring Egency which reported the abuse incident to the Registry as well as the area where the abuse occurred. 2. "Non-ward care" means that parents or guardian agreed voluntarily to place the uhild in care of the Director of Child Welfare or a Children's Aid Society for a specified time. "Temporary Guardianship" means an order of the Family Court placing the child into care an,: custody of the Director or a Society for a specified limited time (temporary loss of parental rights). "Permanent Guardianship" means an order of ' the Family Court placing the child into care and custody of the Director or a Society for an unlimited period of time (permanent loss of parental rights). "Pending" means the case has not been concluded in the court of law as of December 31. 100 _ .'W.' -...... ---- .. -~- --.....--- 0 TABLE: 5 0 s:: MAXIMUM NUMBER OF PERSONS RECEIVING CO-ORDINATED HOME CARE SERVICES· s:: C BY REGION, JANUARY TO DECEMBER, 1977 Z =i -< (J) m REGlON March May July January February April June August September October November December :s:D CENTRAL 433 437 434 447 454 455 475 474 465 485 478 481 0 m EASTMAN 394 :353 348 360 361 344 344 362 351 352 355 350 (J) INTERLAKE 513 5'11 534 530 553 537 536 558 545 548 565 577 NORMAN 152 150 146 140 150 149 146 151 153 159 164 172 PARKLAND 453 4~8 445 442 464 449 446 470 473 487 479 466 ... THOMPSON 71 72 93 92 81 78 99 79 66 88 63 60 .....0 WESTMAN 1,347 1,269 1,232 1,223 1,235 1,238 1,156 1,198 1,194 1,191 1,166 1,109 WINNIPEG 5,167 5,137 5,194 5,188 5,478 5,356 5,324 5,362 5,310 5,433 5,507 5,359 TOTAL 8,530 8,387 8,426 8,422 8,77.6 8,606 8,526 8,654 8,557 8,743 8,777 8,574 'The maximum number of persons receiving home care during a month is greater than at month end, as admissions exceed discharges. j I I 'I ------ COMMUNITY SERVICES SECTION: 4 TABLES: 6 & 7 TABLE: 6 HOME CARE PROGRAM CASELOAD MOVEMENT BY AGE GROUP JANUARY 1 TO DECEMBER 31, 1977 Caseload Age 0-18 Age 19-64 Age 65+ Total AT BEGINNING OF JANUARY' 350 1,633 5,577 7,560 ADMISSIONS 391 2,237 5,934 8,562 DISCHARGES 410 2,200 5,695 8,305 AT END OF DECEMBER 331 1,670 5,816 7,817 'Figures have been revised from 1976 Annual Report. TABLE: 7 HOME CARE PROGRAM: AVERAGE MONTHLY NUMBER OF PERSONS RECEIVING SELECTED SERVICES!!) BY CATEGORY JANUARY TO DECEMBER 1976 AND 1977 Service(2) Average Monthly Average Monthly Number of Persons 1976 Number of Persons 1977 I NURSING SERVICE(3) 2,841 2,928 AUXILIARY SERVICE(4) 658 780 1 THERAPY SERVICES(s) 437 436 --~ HOME HELP SERVICE(s) 3,290 3,515 h)ln addition, Home Care Services include health supervision, health education, health counselling, social service counselling, as well as volunteer services such as shopping, friendly visiting and daily telephone reassurance. (2)An individual can receive more than one category of service. (s)Professional registered nursing services provided in the home. I4lServices provided by L.P.N.'s, aides and orderlies. (s)lncludes occupational and physiotherapy services. (s)lncludes household duties and/or personal care. Note: These statistics only include paid services and exclude service~l performed by Public Health Nursing. 102 COMMUNITY SERVICES SECTION: 4 TABLES: SA,8B&9 TABLE: 8A TOTAL NUMBER OF PERSONS ASSESSED FOR PLACEMENT IN PERSONAL CARE HOMES BY REGION AND TYPE OF CARE, JANUARY TO DECEMBER, 1977 Region Hostel Personal Care Extended Care Total* CENTRAL 52 96 69 217 EASTMAN 5 80 26 111 INTERLAKE 54 65 29 149 NORMAN 11 29 7 47 PARKLAND 42 90 65 197 THOMPSON 3 7 5 15 WESTMAN 221 282 160 663 WINNIPEG 188 732 496 1,416 TOTAL 576 1,3?~ 857 2,815 'Total may include persons reassessed because of change in level of care required. TABLE:SB PERCENTAGE OF PERSONS ON WAITING LIST RECEIVING HOME CARE PENDING PLACEMENT, DECEMBER 1976 AND 1977. 1976 1977 TOTAL RURAL AREA 43.9 40.2 WINNIPEG 52.0 44.3 TOTAL 48.2 42.3 TABLE: 9 MEDICAL SUPPLIES AND HOME CARE ~QUIPMENT PROGRAM: SERVICES PROVIDED, 1975 TO 1977 Services 1975 1976 1977 PATIENTS 6,931 6,202 6,661 ITEMS OF EQUIPMENT 14,722 15,088 15,422 PATIENT CONTACTS 14,139 16,920 20,907 REGULAR WHEELCHAIRS 2,660 2,975 3,228 MOTORIZED WHEELCHAIRS 17 47 73 SOCIAL ALLOWANCE SERVICES 1,988 1,651 1,526 OSTOMY PATIENTS 953 993 1,024 OSTOMY PARCELS SENT OUT 7,398 7,492 7,316 103 COMMUNITY SERVICES SECTION: 4 TABLE: 10 TABLE: 10 DENTAL SERVICES: MANITOBA CHILDREN'S DENTAL PROGRAM JULY 1976 TO JUNE 1977 Year of Number of Children M.C.D.P.*" Health Region Birth of % Children* Invited Examined Completed Utilization INTERLAKE Gimli Area 1970(71) 255(238) 223(137) 197(131) 87(58) Selkirk Area 1970(71 ) 335(327) 229(180) 223(131 ) 68(55) Stonewall Area 1970(71) 274(186) 237(168) 219(153) 87(90) Ashern Area 1970(71) 164(140) 142(111) 136(104) 87(79) Grand Rapids Area 1970(71 ) 27(18) 26(14) 96(77) TOTAL INTERLAKE 1055(909) 847(610) 775(519) 81 (67) PARKLAND 1970(71) 371 (131) 337(94) 265(26) 91 (72) FUN FLON 1970(71 ) 118(101) 76(721) 74(65) 64(71) TOTAL (PARKLAND & FUN FLON) 489(232) 413(166) 339(91 ) 85(72) GRAND TOTAL 1544(1141) 1270(776) 1114(610) 82(68) Note: an additional 296 people received care while clinics operated in remote com munities; 52 of these were children who received complete care. A fUrther 42 children have been referred by the program to private dentists for completion of the required treatment. 'Care was provided to children born in 1970 beginning July 1976. Children born in 1971 became eligible in February 1977. "% utilization = # of children examined # of children invited 104 COMMUNITY SERVICES SECTION: 4 TABLE: 11 TABLE: 11 DENTAL SERVICES: SERVICES PROVIDED BY CLINICAL STAFF MANITOBA CHILDREN'S DENTAL PROGRAM JULY 1916 TO JUNE 1971 Number of Services Provided Through Services M.C.D.P. Remote Clinics Diagnostic Services Initial oral examination 1,362 213 Emergency oral examination 122 Specific or«1 examination 184 Recall examination 289 96 Radiographic Services Periapical radiographs 142 Bitewing radiographs (single film) 4,797 Panoramic radiographs Prevent;,'e Services Dental prophylaxis 1,780 B Topical fluoride 1,175 Nutritional counsel (individual) 8 Oral hygiene instruction (individual) 1,690 Caries control (sedative dressing) 105 Restorative Services TOTAL amalgam restorations 207 Amalgam -primary -one surface 2,109 -two surfaces 4,230 -three surfaces 1,023 -four surfaces 10B -five surfaces 18 Amalgam - permanent - one surface 1,057 -two surfaces 598 -three surfaces 45 -four surfaces 9 -five surfaces Composite restorations (white) 10 Stainless steel crowns 856 pulp Therapy Services Direct pulp cap 29 lndirect pulp cap Pulpotomy 1,003 Surgical Services Removal of erupted tooth 965 14B Removal of residual roots (soft tissue coverage) 15 105 COMMUNITY SERVICES SECTION: 4 TABLE: 12 TABLE: 12 DENTAL SERVICES: PREVENTIVE SERVICES PROVIDED OUTSIDE THE MANITOBA CHILDREN'S DENTAL PROGRAM .IULY 1976 TO JUNE 1977 Dental prophylaxis and topical fluoride application 3,168 Oral Hygiene Instruction 2,945 Preschool Clinics Number of mothers counselled and children screened 1,833 . Daily School Classroom Brusl1ings Number of children/classrooms participating 2850/167 Prenatal Class Lesso'n 59 Day Care Centres Visited 14 Note: Other activities include geriatric screening, recruitment at high school career days for students interested in dental nursing and dental assisting and public information booths at fairs and lectures for principals' meetings, etc. 106 PUBLIC HEALTH SECTION: 5 TABLE: 1 TABLE: 1 COMMUNICABLE DISEASES-REPORTED CASES MANITOBA 1975 TO 1977 Number of Cases Disease 1975 1976 1977 INTESTINAL INFECTION DISEASES Typhoid Fever (001) 3 2 1 Paratyphoid Fever (002) 1 1 Other Salmonella Infections with food as vehicle (003.0) 4 3 5 without mention of food as vehicle (003.9) 57 79 95 Bacillary Dysentery (004) 162 193 175 Staphylococcal (005.0) 32 1 5 Diarrhoea of the Newborn. Epidemic (009.1) 1 E. Coli Enteritis 288 311 321 Clostridial (005.2) 30 TUBERCULOSIS Pulmonary (011) 102 111* 101 Other and Unspecified (010.012-019) 90 94' 71 VENEREAL DISEASES Gonococcal Infections (098) 4.246 4,728 4,803 Primary & Secondary Syphilis 20 17 20 Syphilis (Other) 82 49 50 Chancroid (099.0) 16 105 35 OTHER BACTERIAL DISEASES Diphtheria (032) 10 9 9 Meningococcal Infections (036) 17 12 6 Streptococcal Sore Throat & Scarlet Fever (034) 1,874 2,117 3,271 Whooping Cough (033) 57 92 15 Diphtheria Carriers 146 150 245 VIRUS DISEASES OF CENTRAL NERVOUS SYSTEM Aseptic Meningitis due to Enteroviruses (excludes polio) Coxsackie Virus (045.0) 3 4 2 Echo Virus (045.1) 3 1 Not specified (045.9) 31 22 6 Western Equine Encephalitis (062.1) 14 5 OTHER VIRUS DISEASES Hepatitis Infectious (070) 787 683 935 Measles (055) 693 381 105 Rubella (German Measles) (056) 784 161 74 Hepatitis Serum (999.2) 48 52 24 RARE DISEASES Brucellosis (023) 9 16 10 Malaria (084) 8 11 10 Leprosy (030) 1 2 Tetanus (03'7) 1 Cholera (000) 1 Amoebiasis (006) 10 6 Paratyphoid Fever Carrier (Y05.1) 1 4 st. Louis Encephalitis 1 ·Revised from 1976 Annual Report 107 PUBLIC HEALTH SECTION: 5 TABLE: 2 TABLE: 2 VENEREAL DISEASES: REPORTED CASES BY TYPE 1942 TO 1977 Peak incidence years since records have been kept are; Gonorrhoea 1977 -4,803 cases Syphilis 1942-696 cases Post war low incidence years are: 1955-Gonorrhoea-1,215 cases 1959-Syphilis-45 cases o I co \...... ; .... ~. .... :::: ., ~ -;, -;, ~ ~ ~ r---. ... ~ o I'- ..... ;:~ •• 'If:. ~ ~ ~ .' ~ •• ..... I ... ~ lO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 lO 0 lO 0 lO 0 lO llS ' PUBLIC HEALTH SECTION: 5 TABLE: 3 TABLE~: 3 & 4 ACTIVE TUBERCULOSIS CASES BY TYPE-1977 AND 1976 TOTALS Type of Disease White Treaty Indians Other Total NEW ACTIVE CASES PULMONARY 52 (40) 24 (23) 18 (18) 94 (81) OTHER RESPIRATORY 4 (3) 17 (5) 6 (3) 27 (11 ) NON~RESPIRATORY 19 (14) 7 (5) 12 (11 ) 38 (30) TOTAL 75 (57) 48 (33) 36 (32) 159 (122) RE·ACTIVATED CASES PULMONARY 6 (5) 2 H H 8 (5) OTHER RESPIRATORY 2 H H (-) 2 (-) NON~RESPIRATORY 2 (1 ) H (-) 4 (1 ) TOTAL 10 (6) 3 H 1 (-) 14 (6) GRAND TOTAL (1977) 85 (63) 51 (33) 37 (32) 173 (128) GRAND TOTAL (1976) 94 (81) 53 (40) 58 (44) 205 (165) Note; Figures in parentheses refer to bacillary cases. TABLE: 4 DRUG DISPENSING PROGRAM 1974 TO 1977 Purpose Number of Patients On Number of New Patlents of Drug Active List at Year End Registered During Year 1974 1975 1976 1977 1974 1975 1976 1&77 ~HEUMATIC HEART DISEASE PREVENTION 1,146 1,151 ',099 1.067 91 116 89 104 DIABETES TREATMENT ',123 1,094 798 765 138 36' -• 5' LIVE SAVING 634 654 518 466 198 76~ 8' 23" 'After July 1, 1975 only special case applicants have been enrolled. 109 PUBLIC HEALTH SECTION: 5 TABLE: 5 TABLE: 5 PUBLIC HEALTH NURSING: SELECTED REASONS FOR SERVICE' BY REGION FOR DECEMBER 1977 AND 1976 Clinics/Attendance Developmental Classes for Region Immunlza- ScreerJng Elderly Expectant lions Tests Child Health Persons Parents CENTRAL 266 ~ ~ 9 EASTMAN 541 9 ~ ~ 9 INTERLAKE 352 35 ~ ~ 10 NORMAN 252 5 ~ ~ PARKLAND 583 ~ ~ 5 THOMPSON 216 3 ~ ~ WESTMAN 1.008 32 ~ ~ 12 WINNIPEG 687 15 ~ ~ 24 DECEMBER 1977 TOTAL ~.9052 99 2~~ 71 DECEMBER 1976 TOTAL 12.7772 22 74 1These data are not a total count for all provincial Public Health Nursing Services and exclude services performed by the City of Winnipeg Health Department. 21976 figures reflect greater activity in the influenza vaccine program. 'Data not available for December. 1976. 110 TABLE: 6 'tIc: PUBLIC HEALTH NURSING: OJ SELECTED REASONS FOR SERVICEI BY REGION !: FOR DECEMBER 1977 AND 1976 0 ::r: Continuing Care' rn Intants and' Adult l> Maternat' Pre-Sch'lolers Schoot Children' Communicable Mental Health Personal (1).4 Yrs) (5-17 Yrs) 18·64 Yrs 65+ Yrs Disease Home Care Care Home !:i Ad· ::r: Health Direct Health Direct Health Direct Health Direct Health Direct Health Direct Health Direct Health Re· Direct mtsslon Pro- Nursing Pro· Nursing Pro· Nursing Pro· Nursing Pro· Nursing Pro· Nursing Pro· Nursing Pro· A ••ess- a.seso· Nursing AssGu- Monl- motion Care motion Care motion Care motion Care motion Care motion Care motion Cere motion ment ment Care ment torlng CENTRAL 118 3 248 15 17 ::0 159 46 264 99 98 8 59 27 244 29 46 46 28 7 EASTMAN 108 247 38 138 34 198 41 ~56 51 41 3 35 24 165 37 ..J 44 11 2 INTERLAKE 111 21 179 14 198 33 217 3$ 299 91 94 32 41 ,18 229 40 69 69 20 6 NORMAN 67 14 305 85 225 91 396 74 49 25 83 123 43 12 94 8 31 2 3 ..... PARKLAND 79 6 199 19 103 85 166 21 211 86 201 71 55 37 263 42 102 98 12 15 ..... THOMPSON 249 10 888 95 730 125 352 312 71 34 292 45 14 7 76 11 5 10 WESTMAN 254 543 11 351 18 194 27 432 155 121 13 88 7 280 80 48 165 57 5 WINNIPEG 585 19 876 21 612 30 350 26 538 60 305 2 75 3 79 2 26 4 DECEMBER 1977 TOTAL 1,571 78 3,485 298 2,434 446 2,032 583 2,020 601 1,235 297 410 135 1,430 249 356 434 135 35 DECEMBER 1976 TOTAL 1,462 156 3,025 392 1,530 450 1,201 402 291 220 lThese data are not a total count for all provincial Public Health Nursing Services and exclude services performed i::y the City of Winn'ipeg Health Department. 21976 data include SOfTie service", performed by Public Health Nursing for the Continuing Care Program, (/) 3Services performed by Public 8ealth Nursing for the Continuing Care Program. m Note: Health Promotion inclUdes health assessment (except in Continuing Care) nursing care planning, counselling and );!O OJ:! support, teaching, anticipatory guidance and evaluation. rO *Data not available for December 1976. f!I~ QlUI TABLE: 1 m== MENTAL HEALTH CENTRES: Z ADMISSIONS AND SEPARATIONS; BY INSTITUTION-1975, 1976,1977 ~ r In-Patients ::z:: Admissions Separations* At December 31 Tottll Under Treatment** »m Name of Institution 1975 1976 1977 1975 1976 1977 1975 1976 1977 191( 1976 1977 !:j ::z:: BRANDON MENTAL "'CI HEALTH CENTRE 465 447 487 496 471 480 567 558 571 1,070 1,025 1,051 :xl 0 SELKIRK MENTAL G) HEALTH CENTRE 320 406 339 355 393 355 330 348 326 688 760 713 »:xl EDEN MENTAL (I) HEALTH CENTRE 81 147 173 88 139 173 32 40 40 120 179 213 == TOTAL 866 1,024 999 939 1,003 999 929 946 937 1,878 1,946 1,977 .... ·Excludes probations . I\) "Resident population at beginning of year plus total additions, including "returns from probation". TABLE: 2 MENTAL RETARDATION CENTRES: ADMISSIONS AND SEPARATIONS; BY INSTITUTION -1975, 1976 AND 1977 In-Patients Admissions Separations At December 31 .Total Under Treatment* 1975 1976 197- 1975 1976 1977 1975 1976 1977 1975 1976 1977 Name of Institution ST. AMANT CENTRE 176 171 ','/8 162 139 176 237 269 271 399 408 447 (I) -1m >0 MANITOBA SCHOOL aJ-I FOR RETARDATES 172 112 98 354 144 140 937 934 892 1,164 1,049 1,032 r- mO PELICAN LAKE ~~ TRAINING CENTRE 14 7 13 12 11 10 70 66 69 82 77 79 .... en II'" N TOTAL 362 290 289 528 294 326 1,244 1,269 1,232 1,645 1,534 1,558 ·Resident population at beginning of year plus total additions. -~ -_."-",.- _-.:..."- - -'------.. - ~ - ---- .... - ---- TABLE: 3 3: m MENTAL HEALTH CENTRES: Z AVERAGE DAILY PATIENT POPULATION; BY INSTITUTION 1973 TO 1977 r-~ :r: m Name of Instltutioi1 1973 1974 1975 1976 1977 » ~ BRANDON MENTAL HEALTH CENTRE 614.3 600.9 569.0 569.1 563.8 :r: "D SELKIRK MENTAL HEALTH CENTRE 383.1 351.5 321.9 337.3 329.8 :0 0 EDEN MENTAL HEALTH CENTRE 30.5 33.6 29.0 32.Q 39.5 G> »:0 :J: (J) TABLE: 4 ...... MENTAL RETARDATION CENTRES: ...... U) AVERAGE DAILY PATIENT POPULATION; BY INSTITUTION 1973 TO 1977 Name of Institution 1973 1974 1975 1976 1977 ST~ AMANT CENTRE 177.7 202.4 226.2 258.3 271.0 MANITOBA SCHOOL FOR RETARDATES 1,027.3 952.5 918.2 877.9 878.0 PELICAN LAKE TRAINING CENTRE N/A N/A 69.0 68.9 68.9 (J) ~~ O'J-I ~O fI,)~ wen R<> A TABLE: 5 :!: m MENTAL HEALTH CENTRES: Z AVERAGE LENGTH OF STAY FOR DISCHARGES; BY INSTITUTION-1973 TO 1977 ~ r Average Length of Stay ::J: Name of m Institution 1973 1974 1975 1976 1977 > ~ Patient in Hospital ::J: 1 Year or More 20.4 yrs 17.8 yrs 16.0 yrs 14.9 yrs 13.9 yrs "0 BRANDON MENTAL :tJ HEALTH CENTRE Patient in Hospital 0 Less Than 1 Year 61.8 days 67.0 days 66.4 days 69.2 days 72.5 days !i) :tJ Patient in Hospital > 3: SELKIRK MENTAL 1 Year or More 11.1 yrs 11.0 yrs 11.7 yrs 9.5 yrs 7.2 yrs en HEALTH CENTRE Patient in Hospital Less Than 1 Year 102.0 days 99.0 days 77.0 days 77.2 days 66.3 days patient in Hospital ~ ~ EDEN MENTAL 1 Year or More 2.6 yrs 2.2 yrs 2.6 yrs 3.5 yrs 2.6.yrs .j>. HEALTH CENTRE Patient in Hospital Less Than 1 Year 70.5 days 66.2 days 53.0 days 35.0 days 40.0 days TABLE: 6 MENTAL RETARDATION CENTRES: AVERAGE LENGTH OF STAY FOR DISCHARGES; BY INSTITUTION-1973 TO 1977 Name of Average Length of Stay Institution 1973 1974 1975 1976 .1977 Patients in Residence ST. AMANT CENTRE Wear or More 3.9 yrs 4.1 yrs 3.7 yrs 4.0 yrs 2.0 yrs en 00004m»0 Patients in Residence aJ-t Less Than 1 Year 75.0 days 65.0 days 47.0 days 24.4 days 34.8 days r- mO Patients In Residence ~~ MANITOBA SCHOOL 1 Year or More 11.8 yrs 14.8 yrs 10.1 yrs 12.4 yrs 10.6 yrs Ulen R<> FOR RETARDATES Patients in Residence en Less Than 1 Year 96.9 days 106.6 days 90.7 days 65.6 days 86.6 days __~ __ ~t""""""_~ ___ "" __~_"",_~~ ______...------..-. ------MENTAL HEALTH PROGRAMS SECTION: 6 TABLE: 7 TABLES: 7 & 8 MENTAL HEALTH CENTRES: OUTPATIENT CASE LOAD MOVEMENT-i977 Active Cases Active Cases Name of At Beginning Registrations Terminations At Institution of Year During Year During Year End of Year BRANDON MENTAL HEALTH CENTRE 1,349 2,052 2,160 1,241 -OUTPATIENT DEPARTMENT 729 621 717 633 -CHILD GUIDANCE CLINIC 180 556 528 208 - TRAVELLING CLINIC 440 875 915 400 SELKIRK MENTAL HEALTH CENTRE 984 1,275 1,304 955 EDEN MENTAL HEALTH CENTRE 779 185 964 TOTAL 3,112 3.512 3,464 3,160 *Caseload movement i'ncludes those cases who are receiving treatment services by medical, psychological and/or social services staffs. TABLE: 8 OUTPATIENTS TRE,ATED AND OUTPATiENT CONi'ACTS BY MEDICAL STAFF: BRANDON, SEl.KIRK AND EDEN MENTAL HEALTH CENTRES-1977 (A) BRANDON MENTAL HEALTH CLINIC Re-Opened Cases Seen Active Cases New Patients Previously January 1977 (At Brandon) (At Brandon) Total FORMER IN-PATIENTS 369 81 290 740 FORMER IN-PATIENT CONTACTS f)A7 NOT FORMER IN-PATIENTS <.'TI 53 59 359 NOT FORMER IN-PATIENT CONTACTS PATIENTS ORIGINALLY SEEN AT THE COMMUNITY MENTAL HEALTH CLINIC 285 81 252 618 PATIENTS ORIGINALLY SEEN-CONTACTS TOTAL OUT-PATIENTS TREATED -. ',717 TOTAL OUT-PATIENT CONTACTS 3,644 'Not Available. 115 MENTAL HEALTH PROGRAMS SECTION: 6 TABLES: 8B & 8C (B)SELKIRK MENTAL HEALTH CENTRE Patients Seen New Patients Previously (At Selkirk) (At Selkirk) Total FORMER IN-PATIENTS 62 1,392 1,454 FORMER IN-PATIENT CONTACTS 6,713 NOT FORMER IN-PATIENTS 308 293 601 NOT FORMER IN-PATIENT CONTACTS 2,540 TOTAL OUTPATIENTS TREATED 370 1,685 2,055 TOTAL OUTPATIENT CONTACTS 9,253 'Not Available. (C) EDEN MENTAL HEALTH CENTRE Patients Seen New Patients Previously (At Eden) (At Eden) Total FORMER IN-PATIENTS 40 223 263 NOT FORMER IN-PATIENTS 232 217 449 TOTAL OUTPATIENTS TREATED 272 440 712 TOTAL OUTPATIENT CONTACTS - 2,017 -Not Availablt~. 116 EXTERNAL AGENCIES SECTION: 7 TABLE: 1 TABLE: 1 PROVINCIAL GRANTS TO HEALTH AND SOCIAL SERVICE ORGANIZATIONS FISCAL YEARS 1975-1976 AND 1976-1977 ($000) 1975-76 1976-77 I. PROGRAM SUPPORT GRANTS A. Child and Family Services 1. Children's Aid Society of Central Manitoba 480.3 517:1- 2. Children's Aid Society of Eastern Manitoba 464.6 4869' 3. Children's Aid Society of Western Manitoba 56.6.3 634.6 4. Children's Aid Society of Winnipeg 1,999.7 2,050.3- 5. Jewish Child and Family Services 20.0 B. Lunch and After School Programs 1. Fort Rouge Child Care Programs Board 8.5 9.3 2. Lord Roberts Lunch and After School Programs 8.5 9.3 3. St. Matthews-Maryland Centre 8.5 9.3 4. Westminister Children's Care Centre 17.0 18.7 5. Windsor Park Children's Care Centre 8.5 9.3 C. Community Care and Services to Elderly 1. Age and Opportunity Centre 119.2 146.3 2. Brandon Civic Senior Citizens 15.9· 17.5 3. Home Welfare Association-Meals on Whe~ls 20.0-' 24.5 ~ 4. S1. John Ambulance Association 10.0 20.0 l D. Vocational Rehabilitation Services 1. Canadian National Institute for the Blind, (Manitoba DiVision) 203.71 348.9* ? Luther Home-1010 Sinclair 98.3' 221.1' ~ 3. Socie:y for Crippled Children and Adults in Manitoba 1,508.7 1,699.1* E. Care and Treatment of the Mentally III 1. Canadian Mental Health Association (Manitoba Division) 30.0 33.0 2. Eden Mental Health Centre 556.6 674.7* F. Care and Treatment of Mentally Retarded 1. Canadian Association for Mentally Retarded (Manitoba Division) 88.9 96.0 2. S1. Amant Centre 3,786.3- 4,341.8" 3. Sanatorium Board of Manitoba-Pelican Lake 950.2- 933.9" 4. Steinbach Development Centre 33.9 31.0 G. Corrections 1. Canadian Congress on Corrections .1 .1 2. Canadian Criminology and Corrections Association 2.0 2.0 3. John Howard and Elizabeth Fry Society 51.5 60.5 4. Manitoba Society of Criminology 3.0 3.0 5. Native Clan 25.7 32.6 6. Open Circle 3.0 3.0 H. Friendship Centres 1. Brandon Friendship Centre 17.9 21.0 2. Dauphin 21.1 23.2 3. Flin Flon 20.6 22.5 4. Lynn Lake 6.0 1 24.3 117 EXTERNAL AGENCIES SECTION: 7 TABLE: 1 TABLE: 1 (cont'd) 1975-76 1976-77 H. Friendship Centres (cont'd) 5. Portage la Prairie 23.5 25.7 6. Selkirk 20.6 22.5 7. Swan River 19.4 19.3 8. The Pas 31.0 43.7 9. Winnipeg 104.6 114.5 I. District Health Centres 1. Churchill Health Centre 184.9 348.6 2. Mount Carmel Clinic 254.7 330.0 3. Klinic 210.5 201.0 4. Leaf Rapids Health Centre 104.1 125.6 5. Seven Regions Health Centre 88.6 106.9 6. Lac du 80nnet Health Centre 55.6 63.7 7. Citizen Health Action 74.0 57.0 8. Hamiota Health Centre 35.3 24.0 9. Vita Health Centre 5.0 II. PROJECT AND SPECIAL PURPOSE GRANTS 1. City of Winnipeg 1,320.0 1,452.0 2. Kelsey Tenants Association 4.8 3. Manitoba Child Care Association .2 4. Thompson Migration Centre, Ma-Mow-We-Tak 13.5 5. Rossbrook House 10.5 III. GENERAL PURPOSE GRANTS 1. Canadian Council for the Blind .1 .1 2. Canadian Council on Social Development 7.7 8.5 3. Canadian Diabetic Association (Manitoba Division) 1.0 1.0 4. Canadian Public Health Association 1.5 1.8 5. Canadian Association in Support of Native People .8 .8 6. Last Post Fund .2 .2 7. Manitoba Indian Brotherhood 104.5** 120.0 8. Planned Parenthood Association of Manitoba 15.0 23.0 9. Winnipeg Counnil of Self Help 25.0 10.0 10. Winnipeg Social Planning Council 35.0 35.0 'Subject to adjustment. "Revised from 1976 Annual Report. 'Part year only. 118 FITNESS AND AMATEUR SPORTS SECTION: 8 TABLE: 1 TABLE: 1 FITNESS AND AMATEUR SPORTS FUNDING AND PARTICIPATION Area of Funding Participation Funds Program grants Number of participants 1977/78 57 Provincial Sport Associations $197.500.00 Man~Ptan Athlete Aid 280 athletes from 28 different Tier I and Tier II Sport Associations 53.000.00 National Coaching 125,000.00 Certification Program 800 coaches have been certified for 17 mos. Administrative Credit 57 Sport Associations 217,500.00 Salary Assistance to hire full 57 Sport Associations hired time Sport Administrators 14 full time Sport Administrators 161,100.00 Sports Special Project In process of making alloca~\ons 190,000.00 1977 Canada Games 15 Provincial Sport Associatiol1s 31,382.50 1979 Canada Winter Games 17 Provincial Sport Associations 150.775.00 1978 Manitoba Games 10 Provincial Sport Associations 30,000.00 • 119 CORRECTIONAL PROGRAMS (JUVENILE) SECTION: 9A TABLE: 1 TABLE: 1 JUVENILE PROBATION ASSESSMENTS COMPLETED BY PROBATION OFFICERS: BY TYPE-WINNIPEG-1975 TO 1977 Type 1975 1976 1977 SOCIAL STUDIES 136 141 139 COURT SUMMARIES 1,276 1,697 1,845 NON-JUDICIAL 2,179 2,616 ~,347 "I" LEVEL 54 38 29 120 TABLE: 2 0 0 JUVENILE PROBATION CASELOAD MOVEMENT: ::rI :xl BY TYPE-WINNIPEG-1976, 1977 m 0 ::! 0 Probation with or Z New Intake Without Placement Aftercare Rehab'n Centre Total ....» 1976 1977 1976 1977 1976 1977 1976 1977 1976 1917 "tJ ::rI BEGINNING OF YEAR 1,063 1,093 651 749 15 16 57 57 1,786 1,915 0 G') CASES OPENED 5,115 4,867 539 591 19 15 68 75 5,741 5,548 »::rI TOTAL CASES SERVED 6,178 5,960 1,190 1,340 34 31 125 132 7,527 7,463 :: .....en CASES CLOSED 5,085 4,628 441 738 18 20 68 64 5,612 5,450 Co. c: END OF YEAR 1,093 1,332 749 602 16 11 57 68 1,915 2,013 m< ..... ~.... I\)...... m TABLE: 3 ilIi' JUVENILE PROBATION CASE LOAD MOVEMENT: ff BY TYPE-THE PROVINCE OF MANITOBA-1976,1977 1/ Probation with or New Intake Without Placement Aftercare Rehab'n Centre Total 1976 1977 1976 1977 1976 1977 1976 1977 1976 1977 BEGINNING OF YEAR 1,911 2,075 1,682 1,557 24 25 109 109 3,726 3,766 tn ~m CASES OPENED 9,876 8,931 1,588 1,533 43 44 143 152 11,650 10,660 >0 Ill .... r- TOTAL CASES SERVED 11,787 11,006 3,270 3,090 67 69 252 261 15,376 14,426 rnO CASES CLOSED 9,712 8,677 1,713 1,711 42 46 143 128 11,610 10,562 ~~ 1\)<0 END OF YEAR 2,075 2,329 1,557 1,37~ 25 23 109 133 3,766 3,864 120> (.) CORRECTIONAL PROGRAMS (JUVENILE) SECTION: 9A TABLES: 4 & 5 TABLE: 4 MANI.TOBA YOUTH CENTRE NUMBER OF RESIDENTS ADMITTED ANNUALLY: BY SEX-1974 TO 1977 Year Boys Girls Total 1974 3,019 1,299 4,318 1975 3,066 1,533 4,599 1976 3,117 1,469 4,586 1977 3,598 1,599 5,'97 TABLE: 5 MANITOBA YOUTH CENTRE AVERAGE NUMBER OF RESIDENTS PER DAY 1974 TO 1977 Year Boys Girls Total 1974 96.2 31.7 127.9 1975 113.9 43.4 157.3 1976 106.7 44.7 151.4 1977 119.1 52.4 171.5 122 CORRECTIONAL PROGRAMS (JUVENILE) SECTION: 9A TABLES: 6 & 7 TABLE: 6 MANITOBA YOUTH CENTRE AVERAGE LENGTH OF STAY PER RESIDENT -1974 TO 1977 Year Boys Girls Total 1974 11.7 9.0 10.9 1975 13.1 9.7 11.9 1976 11.7 11.1 11.5 1977 11.6 12.4 11.8 It TABLE~ 7 MANITOBA YOUTH CENTRE r CHILDREN RELEASED; BY AGE AND SEX- 1976, 1977 ~ I Boys Girls Total r Age 1976 1977 1976 1977 1976 1977 12 AND UNDER 316 370 108 149 424 519 I 13 YEARS 280 310 140 156 420 466 14 YEARS 462 485 354 304 816 789 15 YEARS 628 656 390 391 1,018 1,047 ! 16 YEARS 736 823 297 321 1,033 1,144 t 17 YEARS 723 804 164 243 887 1,047 18 YEARS 29 29 4 2 33 31 t TOTAL 3,174 3,477 1,457 1,566 41631 5,043 123 CORRECTIONAL PROGRAMS (JUVENILE) SECTION: 9A TABtE: 8 TABLE: 8 MANITOBA YOUTH CENTRE JUVENILES RELEASED FROM DETENTION: BY REASONS FOR ADMISSION-1976, 1977 1976 1977 Reasons for Admisl:lion Boys Girls Total Boys Girls Total OFFENCES AGAINST PERSON 299 39 338 259 57 316 -Murder; Manslaughter 12 12 15 6 21 -Assault; Assault Causing Bodily Harm 91 16 107 90 21 111 -Robbery (Armed or with Violence) 28 1 29 5 2 7 -Sex Offence 38 4 42 43 9 52 -Other 130 18 148 106 19 125 OFFENCES AGAINST PROPERTY 1,701 326 2,027 2,053 427 2,480 -Break, Enter and TheW 645 57 702 734 68 802 -Auto Theft 301 36 337 283 24 307 -Theft 574 193 767 751 247 998 -Forge and utter; False Pretenses 18 10 28 15 5 20 -Posession of Stolen Goods 80 17 97 ~13 29 142 -Arson 15 2 17 4 2 6 -Other 68 11 79 153 52 205 OFFENCES AGAINST SELF 635 278 913 637 299 936 -Breach of Narcotics Control Act 64 10 74 100 17 117 -Breach of Food and Drug Act -Breach of Liquor Control Act 189 111 300 204 127 331 -Breach of Highway Traffic Act 66 3 69 52 4 56 -Substance Abuse 131 76 207 120 88 208 -Other 185 78 263 161 63 224 CHILD WELFARE ACT 539 814 1,353 528 783 1,311 TOTAL 3,174 1,457 4,631 3,477 1,566 5,043 ~lncludes Break and Enter; Attempt Break and Enter. ~ I 1 , 1 124 ~ J TABLE: 9 0 0 MANITOBA YOUTH CENTRE :0 :0 JUVENILES RELEASED FROM DETENTION BY DISPOSITION, m BY SEX -1976, 1977 0 ::! 0 Z 1976 1977 »r- Disposition Boys Girls Boys Girls "V :0 0 J.O.A. C.W.A. J.O.A. C.W.A. J.D.A. C.W.A. J.D.A. C.W.A. G) TO PARENT, GUARDIAN OR RELATIVE 1,904 285 448 398 2,244 254 539 393 »:0 :!: TO REHAB. CENTRE 135 52 9 16 (JI c::: TO RESIDENT INSTITUTION 169 86 28 37 81 46 26 49 c: TO GROUP HOME 215 68 54 124 197 87 71 117 m< ~ .... TO FOSTER HOME 200 93 95 227 147 67 82 173 r- m '"c.n TRANSFERRED-ADULT COURT 31 41 ...... OTHER (HOSPITAL, SELF, ELC, UAL, M.P.) 105 18 14 32 61 65 15 76 TOTAL 2,624 550 639 818 2,906 571 742 824 _J CORRECTIONAL PROGRAMS (JUVENILE) SSCTION: 9A TABLES: 10 & 11 TABLE: 10 AGASSIZ CENTRE FOR YOUTH AND SEVEN OAKS CENTRE FOR YOUTH: ADMISSIONS BY AGE-i976, 1977 Agassiz Centre Seven Oaks Centre for Youth* For Youth Age on Admission 1976 1977 1976 1917 Girls Boys Girls Boys UNDER 15 13 16 9 3 8 6 15 YEARS 20 26 6 6 4 13 16 YEARS 38 41 6 8 4 10 17 AND OVER 24 26 4 4 10 TOTAL 95 109 25 21 16 39 'As of February, 1976 the Seven Oaks Centre for Youth included a resident count for boys. TABLE: 11 AGASSIZ CENTRE FOR YOUTH AND SEVEN OAKS CENTRE FOR YOUTH: MONTHLY AVERAGE NUMBER OF ADMISSIONS AND DISCHARGES: AND AVERAGE DAILY POPULATION-1976, 1977 Agassiz Centre For Youth Seven Oaks Centre for Youth· Monthly Average 1976 1917 1976 1977 Girls Boys Girls Boys ADMISSIONS 7.9 9.1 2.1 1.9 1.3 3.3 DISCHARGES 10.2 5.8 1.9 1.0 1.8 1.8 AVERAGE DAILY POPULATION 86.9 82.6 19.1 12.2 14.6 14.0 'As of February, 1976 the Seven Oaks Centre for Youth included a resident count for boys. 126 CORRECTIONAL PROGRAMS (JUVENilE) SECTION: 9A TABLES: 12 & 13 TABLE: 12 AGASSIZ CENTRE FOR YOUTH AND SEVJ;N OAKS CENTRE FOR YOUTH: AVERAGE DAYS STAY PER DISCHARGE-. 1975-1977 Agassiz Seven Oaks Centre for Youth· Year Centre Total** For Youth Girls Boys 1975 249 296 338 ~976 253 260 185 249 ~' 1977 274 301 274 280 , 'As of February, 1976 the Seven Oaks Centre for Youth included a resident count for boys. -'Weighted average. TABLE: 13 AGASSIZ AND SEVEN OAKS YOUTH CENTRES NUMBER OF J.D.A.'S AND C.W.A.'S CASES ADMITTED I AND DISCHARGED -1975-1977 Agassiz Centre Agassiz Centre For Youth Seven Oaks Centre For Youth Admitted Discharged Admitted Discharged Year JDA CWA JDA CWA JDA CWA JDA CWA Girls Boys Girls Boys Girls Boys Girls Boys 1975 112 2 87 4 11 18 25 14 1976 93 2 119 3 18 21 7 9 11 14 1977 99 10 69 1 7 38 9 1 12 21 9 1 JDA-refers to juveniles committed under the Juvenile Delinquent's Act. CWA-refers to juveniles held under the Child Welfare Act. 127 TABLE: 1 (') 0 ADULT PROBATION AND PAROLE SERVICES: ::n ::n CASELOAD MOVEMENT BY TYPE-WINNIPEG-1976, 1977 m (') j Prison & Probation 0 New Intake Probation Parole Total In Prison On Probation »Z r 1976 1977 1976 1977 1976 1977 1976 1977 1976 1977 1976 1977 ::n"0 BEGINNING OF YEAR 95 50 449 630 19 10 110 119 138 194 811 1,003 0 G> 1,502 :xl CASES OPENED 668 483 515 583 24 15 220 207 282 214 1,709 » 2,520 2,505 s:: TOTAL CASES SERVED 763 533 964 1,213 43 25 330 326 420 408 en CASES CLOSED 713 482 334 547 33 16 211 216 226 219 1,517 1,480 ~ 0 END OF YEAR 50 51 630 666 10 9 119 110 194 189 1,003 1,025 c: TABLE: 2 5 ADULT PROBATION AND PAROLE SERVICES: CASELOAD MOVEMENT BY TYPE-PROVINCE OF MANITOBA-1976, 1977 Prison and Probation New Intake Probation P~role Total In Prison On Probation 1976 1977 1976 1977 1976 1977 1976 1977 1976 1977 1976 1977 BEGINNING OF YEAR 133 94 874 1,086 46 48 182 190 214 261 1,449 1,679 CASES OPENED 1,351 1,158 1,188 1,310 104 85 336 321 364 338 3,343 3,212 en -1m TOTAL CASES SERVED 1,484 1,252 2,062 2,396 150 133 518 511 578 599 4,792 4,891 :P(,) aJ-I r- CASES CLOSED 1,390 1,119 976 1,231 102 92 328 358 317 308 3,113 3,108 mO END OF YEAR 94 133 1,086 1,165 48 41 190 153 261 291 1,679 1,783 ~~ -"co Ro aJ N ~ -:7-;- ~ ~- ,',.- .~ i_ ... '",,-, ~ ...... ~-- ._------ CORR!;CTIONAL PROGRAMS (ADULT) SECTION: 9B TABLE: 3 TABLE: 3 , ADULT PROBATION AND PAROLE ASSESSMENT: BY TVPE-WINNIPEG-1976, 1977 Type of Assessments 19;6 1977 PRE~SENTENCE 551 439 ~ SUPPLEMENTAL AND PROGRESS 23 18 t PRE-PAROLE 4 • 5 POST-SENTENCE 3 45 , MISCELLANEOUS ENQUIRY 68 72 TOTAL 649 579 r 129 , CORRECTIONAL PROGRAMS (ADULT) SECTION: 9B TABLE: 4 TABLE: 4 ADULT CORRECTIONAL INSTITUTIONS': RESIDENT POPULATION -1977 Vaughan Resident Population' Head- Brandon Portage The Pas Dauphin Street ingley & CRC3 Total At Beginning of Year 452 77 16 58 36 640 Admissions 2,691 948 165 840 460 426 5,530 Discharges 2,650 954 159 837 461 427 5,488 At End of Year 493 71 22 61 35 682 Total Resident Days (I nstitution Only) 129,053 29,691 8,657 14,238 13,275 18,740 213,654 Average Daily Pop. (I nstitution Only) 353.6 81.3 23.7 39.0 36.4 51.3 585.4 'Peak' Daily Pop. ~, (Institution Only) 414 101 34 55 48 82 734 t.'inimum Daily Pop. (Institution Only) 285 51 12 20 24 37 429 Total Resident Days (Camps) 11,656 2,741* 8,958 23,355 Average Daily Pop. (Camps) 31.9 11.3' 24.5 63.9" 1This table excludes data for the Winnipeg Remand Centre. 21ncludes offenders sentenced, remanded for trial and pre-court residents. 3Those residents admitted to Headingley Correctional Institution or Portage Correc tion Centre for Women via Vaughan Street Adult Detention Home along with transfers from Headingley to Vaughan Street are not included as admissions of Vaughan Street admission count. However, the resident days accumulated at Vaughan Street by these same residents are included in the Vaughan Street resident days count. Data for Vaughan Street are for the period January 1 to September 30, 1977 only. 'Spruce Woods Rehabiliation Camp re-opened May 3, 1977. **Spruce Woods only open 8 months while other camps were open on a full year basis. Note: 1977 data prepared by Adult Corrections Directorate. 130 CORRECTIONAL PROGRAMS (ADULT) SECTION: 9B TABLES: 5 & 6 TABLE: 5 ADULT CORRECTIONAL INSTITUTIONS' ALL ADMISSIONS2 BY MARITAL STA'rUS~1977 Vi:itl~han Marital Status Head- Brandon Portage The Pas Dauphin Slre~!,· Total ingley &C.R.C. SINGLE 1,487 581 76 481 251 235 3,111 MARRIED 453 188 25 197 89 84 1,036 SEPARATED 197 65 17 41 18 40 378 WIDOWER OR WIDOW 31 8 2 18 11 7 77 DIVORCED 110 26 13 27 12 23 211 COMMON-LAW 384 76 32 64 77 37 670 NOT KNOWN 29 4 12 2 47 TOTAL 2,691 948 165 840 460 426' 5,530' 'This table excludes data for the Winnipeg Remand Centre. 21ncludes offenders sentenced, remanded for trial and pre-court residents. 'Data for Vaughan Street are for the period January 1 to September 30, 1977 only. Note: 1977 data prepared by Adult Corrections Directorate. TABLE: 6 ADULT CORRECTIONAL INSTITUTIONS' ALL ADMISSIONS2 BY EDUCATIONAL LEVEL-1977 Vaughan Education Level Head- Brandon Portage The Pas Dauphin Street Total ingley & C.R.C. NO FORMAL EDUCATION 181 52 7 58 23 2 323 ~ GRADE 9 OR LESS 1,212 450 100 482 281 140 2,665 SOME HIGH SCHOOL (10-12) 1,205 398 48 262 142 273 2,328 SOME TECHNICAL SOME UNIVERSITY 32 10 2 4 3 4 55 NOT KNOWN 61 38 8 34 11 7 159 TOTAL 2,691 948 165 840 460 426' 5,530* 'This table excludes data for the Winnipeg Remand Centre. 21 ncludes offenders sentenced, remanded for trial and pre-court residents. *Data for Vaughan Street are for pericd from January 1 to September 30,1977 only. Note: 1977 data prepared by Adult Corrections Directorate. 131 CORRECTIONAL PROGRAM (ADULT) SECTION: 98 TABLE: 7 TABLE: 7 ADULT CORRECTIONAL INSTITUTION': ALL ADMISSIONS2 BY AGE GROUP-1977 Vaughan Age Group Head- Brandon Portage The Pas Dauphin Street Total Ingley & C.R.C. UNDER 18 YRS. 31 3 8 4 46 18-22 YRS. 968 367 57 365 187 175 2,119 23-27 YRS. 592 191 47 208 84 100 1,222 28-32 YRS. 399 132 26 91 59 58 765 33-37 YRS. 232 70 14 63 31 40 450 38-42 YRS. 158 56 7 39 31 22 313 43-47 YRS. 120 55 6 29 21 9 240 48+ YRS. 169 74 7 23 34 22 329 NOT KNOWN 22 1 14 9 46 TOTAL 2,691 948 165 840 460 426* 5,530· 'This table excludes data for the Winnipeg Remand Centre. 21ncludes offenders sentenced, remanded for trial and pre-court residents. *Data for Vaughan Street are for period from January 1 to September 30, 1977 only. Note: 1977 data prepared by Adult Corrections Directorate. '~ 1 1 l 1 I .~ 132 I J , ___ -J~ ...... -,.,...... - ...... - --. .--...... o.~~ ~ '~ TABLE: 8 ADULT CORRECTIONAL INSTITUTIONS1: 0 SENTENCED OFFENDERS2 BY MOST SERIOUS OFFENCE3-1917 0 Vaughan :J:I :J:I Type of Offence Headingley Brandon Portage The Pas Dauphin Street Total m 0 1. Murder 6 3 1 10 :::! 2. Attempted Murder 1 0 Z 3. Manslaughter 1 2 1 4 l> 4. Rape 9 1 5 1 16 r 1:1 5. Other Sexual Offence 28 11 2 42 :J:I 0 6. Wounding 11 3 4 2 20 G) :J:I 7. Assault 121 29 8 54 17 2 231 l> 8. Robbery 42 16 6 4 1 69 ~ (J) 9. Breaking and Entering 167 22 1 50 32 272 ..... l> 10. Theft-Motor Vehicle 21 5 2 6 35 c c: 11. Theft Over $200 99 17 11 8 6 141 !:j .... 12. Theft $200 and Under 158 21 18 25 4 6 232 ~ C;J C;J 13. Have Stolen Goods 36 1 7 44 14. Frauds 52 8 14 5 4 83 15. Offensive Weapons 24 7 1 20 1 54 16. Other Criminal Code -Impaired Driving 271 18S' 20 46 66 591 -Driving While Suspended 156 33 14 203 -Other 67 74 29 45 39 57 311 17. Federal Statutes 127 11 5 45 5 34 227 18. Provincial Statutes 348 112 22 92 54 85 713 19. Municipal By-Laws 9 10 20, Arson 3 3 (/) 21. Immigration 24 24 m TOTAL 1,781 552 138 424 253 .188 3,336' m-~~ ttll'S 'I\bllll')",cl\l~u!' data IQt tho Wmmpag P.Onlund CUfUIO rO Also IOcltldos laSldonls whOse SUIlU$ changed 10 'sentenced mZ Allhtlugh Inc:hvldunls mot be charged WIth mulliplo bllooC05, only ono oUanca has been UtbulRled lot eaCh;enlcneed ollunder .. ,. ~ Most Senous ononclf wa; selecled according 10 Iho lollowlOg cttletur I) It !t10tf;l Wele sevefal senlllnces, Ihc oUenco soleCll1d COil) would be !tutllor which the heavlost punishment was nwMded.1J If tho~enl TABLE: 9 (') 0 ADllLT CORRECTI0NAL INSTITUTIONS': SENTENCED OFFENDERS2 :0 BY LENGTH OF SENTENCE3-1977 :0 m (') Vaughan :! Length of Sentence 0 Headingley Brandon Portage The Pas Dauphin Street Total Z 7 Days & Under » 184 96 12 43 65 67 467 r 8 Days to 1 Month Less 1 day 'll 445 193 63 71 66 78 916 :0 1 Month to 2 Months Les& 1 Day 226 0 72 11 61 26 24 420 C) 2 Months to 4 Months Less 1 Day :0 329 79 25 130 24 14 601 > 4 Months to 6 Months Less 1 Day 139 17 s: 7 33 12 3 211 en 6 Months to 9 Months Less 1 Day 190 40 10 32 30 302 9 Months to 12 Months Less 1 Day 82 '>c 18 5 11 1 2 119 c 12 Months to 15 Months Less 1 Day 74 8 ..... 2 14 16 114 CAl 15 Months to 18 Months Less 1 Day 26 6 .9 .j>. 1 8 5 46 18 Months to 2 Years Less 1 Day 79 23 2 9 8 121 Lt. Governor's Pleasure 1 Manitoba Penitentiary 12 12 Provincial/Federal Agreement 6 6 TOTAL 1,781 552 138 424 253 188* 3,336* 'This Table excludes data for the Winnipeg Remand Centre. 2)\lso includes those residents whose status has changed to "sentenced" during 1976. 3"Length of Sentence" refers to aggregated time to be served (excluding concurrencies) for each time admitted. *Data for Vaughan Street are for the period January 1 to September 30, 1977. Note: 1977 data prepared by Adult Corrections Directorate. CORRECTIONAL PROGRAMS (ADULT) SECTION: 98 TABLES: 10 & 11 TABLE: 10 ADULT CORRECTIONAL INSTITUTIONS1: PERSONS DETAINED UNDER "INTOXICATED PERSONS DETENTION ACT" 1975 TO 1977 Head- Vaughan Year lnyley Brandon Portage The Pas Dauphin Street Total 1975 16 684 41 1,016 135 41 1,933 r 1976 71 746 57 673 236 70 1,853 ~ 1977 94 716 47 N/A 203 68' N/A ,r lThis table excludes data for the Winnipeg Remand Centre. . 'Data for Vaughan Street are for period from January 1 to September 30, 1977 only . Note: 1977 data prepared by Adult Corrections Directorate. TABLE: 11 ADULT CORRECTIONAL INSTITUTIONS': PAROLE CERTIFICATES AND TEMPORARY ABSENCES-1977 I Head- Bran- Porl- The Dau- Vaughan~ Parole Certificates and Temporary Absences ingley don age Pas phin Street Total DAY PAROLE CERTIFICATES GRANTED N/A 22 5 8 43 N/A FULL PAROLES GRANTED' 41 20 3 2 6 72 TEMPORARY ABSENCES N/A 89 44 55 94 N/A lThis table excludes data for the WinnIpeg Remand Centre. 2Data for Vaughan Street are for the period January 1 to September 30, 1977 only. 'Data as reported in Table 12. Note: 1977 data prepared by Adult Corrections Directorate. 135 TABLE: 12 (') 0 ADULT CORRECTIONAL INSTITUTIONS': :xl :xl ALL DISCHARGES2 BY REASON FOR DISCHARGE-1977 m (') j Vaughan 0 Reasons for Discharge Z Headingley Brandon Portage The Pas Dauphin Street Total > Persons Granted Full Parole 41 20 3 2 6 72 •'tI Expiration of Sentence 1,422 394 112 322 171 20 2,441 :xl 0 Transferred to Manitoba C) Penitentiary 323 22 3 15 8 371 :xl >s: Released on Own Recognizance, en At Court or Bail 425 246 21 286 150 212 1,340 ...... > Transferred to Another C Judicial District 69 62 6 70 69 26 302 C ...... !:j ..... Transferred to R.C.M.P. Escort 173 120 106 7 39 445 c.l 0> Part and Full Fine Paid 156 80 14 30 49 116 445 Transferred to Immigration 32 1 33 Maintenance Orders Paid 9 3 14 27 Released to Probation Officer Struck of Strength (Deceased) Other 5 4 10 TOTAL 2,650 954 159 837 461 427* 5,488* 'This table excludes data for the Winnipeg Remand Centre. en 21ncludes those offenders sentenced, remanded for trial and pre-court residents. m *Data for Vaughan Street are for the period January 1 to September 30, 1977. ~Q DJ- Note: 1977 data prepared by Adult Corrections Directorate. .0 f!1~ "'<0 NDJ CORRECTIONAL PROGRAMS (ADULT) SECTION: 9B TABLE: 13 TABLE: 13 ADULT CORRECTIONAL INSTITUTIONS: WINNIPEG REMANP CENTRE POPULATION DECEMBER, 1977 t,.~ .. , Population Male Female Total AT BEGINNING OF DEOEMBER 80 10 90 ADMISSIONS 696 52 748 DISCHARGES 695 59 754 AT END OF DECEMBER 81 3 84 TOTAL RESIDENT DAYS1 3,351 261 3,612 MINIMUM DAILY POPULt\TIOW 62 1 MAXIMUM DAILY POPULATIOW 90 9 AVERAGE DAILY COUNT 76.7 4.6 81.3 AVERAGE DAILY RESIDENT DAYS 108.1 8.4 116.5 I.P.D.A,3 276 58 334 lTotal daily admissions plus daily carryovers (midnight count and admissions during next 24 hours). 2Population count taken at midnight. 31ntoxicated Persons Detention Act. CORRECTIONAL PROGRAMS (ADULT) TABLE 14 SECTION 9B TABLE 14 ADULT CORRECTIONAL INSTITUTIONS: JUVENILES* HELD IN JUVENILE SECTION: BY SEX ·1977 BRANDON THE PAS DAUPHIN.. TOTAL M F M F M F 'M F BEGINNING OF YEAR 15 5 14 5 3 0 32 10 ADMISSIONS 310 141 134 51 140 49 584 241 DISCHARGES 310 139 135 51 '129 49 574 23S END OF YEAR 15 7 13 5 14 0 42 12 TOTAL RESIDENT ~. DAYS 836. 378 780 194 264 87 1,880 659 AVERAGE DAILY POPULATION 2.3 1.0 2.2 0.5 0.7 O.~ 5.2 1.8 *Includes Juveniles held under "Child Welfare Act" and "Juvenile Delinquents Acts" 137 1II CORRECTIVE & REHABILITATIVE SERVICES SECTION:9C TABLE: 1 TABLE: 1 SUMMARY OF MAJOR TRAINING PROGRAMS CORRECTIVE & REHABILITATIVE SERVICES Number of Number of Programs Number of Days Participant Participants Duration Days 1. Youth Centre Inservice Training 12 3 36 2. Juvenile Counsellor Treatment Training 19 8 152 3. Probation Basic Training 62 4 248 4. Correctional Services Officer Treatmont Training 181 1 181 5. Management Training (Directors) 8 2 16 6. Probation Team Training 50 3 150 7. Correctional Officer Orientation Training 14 3 42 8. Emerge'lcy Response Training 38 3 114 9. Correctional Ottic-ar Basic Training 27 3 81 10. Juvenile Counsellor Basic Training 98 1 98 11. Adult Corrections Treatment Wo: ; Note; Programs 1-11 conducted from January to June. Programs 12-16 were conducted from July to December 138 ~"